Andrea D Davis, M.ED., LPCA

NPI #1972243020 in Vine Grove, Kentucky

Provider Information

NPI Number: 1972243020
Entity Type: Individual
Name: Andrea D Davis, M.ED., LPCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: M.ED., LPCA
Enumeration Date: Mar 29, 2022
Last Updated: Mar 29, 2022

Practice Location

Address: 104 N TREY CT
City: Vine Grove
State: Kentucky
ZIP Code: 40175-8688
Phone: (270) 272-3345

Specialties & Taxonomy Codes

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

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