Chad Davis

NPI #1215341557 in Glenpool, Oklahoma

Provider Information

NPI Number: 1215341557
Entity Type: Individual
Name: Chad Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 15, 2014
Last Updated: Jun 15, 2014

Practice Location

Address: 16688 S 11TH WEST AVE
City: Glenpool
State: Oklahoma
ZIP Code: 74033-4204
Phone: (918) 408-0309

Specialties & Taxonomy Codes

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

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