Amanda L Davis, LAC Valid NPI
Individual provider · Professional Counselor · Jacksonville, AR
- NPI
- 1144613472
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- A1610130 (AR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-03-11
- Last updated
- 2018-05-14
Practice location
2126 N 1st St Ste F
Jacksonville, AR 72076-2868
(501) 982-5000