Connie Davidson

NPI #1285008482 in Jennings, Louisiana

Provider Information

NPI Number: 1285008482
Entity Type: Individual
Name: Connie Davidson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 25, 2015
Last Updated: Jul 20, 2018

Practice Location

Address: 1615 JOHNSON ST
City: Jennings
State: Louisiana
ZIP Code: 70546
Phone: (337) 616-0225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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