Individual provider · Type 1 NPI

Amanda Whitney Davis

Mental Health Counselor · Medford, NJ

NPI number 1104205012 Active

Practice location

175 Route 70, Ste 12
Medford, NJ 08055-2300

Mailing address

770 Woodlane Rd
Mount Holly, NJ 08060

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104205012

Amanda Whitney Davis's National Provider Identifier is 1104205012, issued on May 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, NJ. The record was last updated on May 26, 2015.