Individual provider · Type 1 NPI

Theresa Renee Davis

Mental Health Counselor · Las Vegas, NV

NPI number 1043554025 Active

Practice location

5130 S Pecos Rd, Suite 2B
Las Vegas, NV 89120-1248

Mailing address

9764 Galahad Point Ct
Las Vegas, NV 89147-8065

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043554025

Theresa Renee Davis's National Provider Identifier is 1043554025, issued on Nov 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 15, 2012.