Justin Davis, LGP

NPI #1417486101 in Cumberland, Maryland

Provider Information

NPI Number: 1417486101
Entity Type: Individual
Name: Justin Davis, LGP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LGP
Enumeration Date: Jun 7, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 12502 WILLOWBROOK RD STE 380
City: Cumberland
State: Maryland
ZIP Code: 21502-6592
Phone: (240) 964-8585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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