Carl Davis

NPI #1134476765 in Coweta, Oklahoma

Provider Information

NPI Number
1134476765
Entity Type
Individual
Name
Carl Davis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Aug 14, 2012
Last Updated
Aug 14, 2012

Practice Location

Address
324 E CHESTNUT ST
City
Coweta
ZIP Code
74429-2532
Phone
(918) 279-6565

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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