Misty P Davidson

NPI #1194039990 in Burkesville, Kentucky

Provider Information

NPI Number: 1194039990
Entity Type: Individual
Name: Misty P Davidson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 4, 2010
Last Updated: Aug 4, 2010

Practice Location

Address: 390 KEEN ST
City: Burkesville
State: Kentucky
ZIP Code: 42717-7682
Phone: (606) 679-4782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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