Individual provider · Type 1 NPI
Sally Davis, L.P.C., L.C.D.C.
Mental Health Counselor · Lubbock, TX
NPI number
1104415058
Active
Practice location
2515 80th St
Lubbock, TX 79423-2217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 85875 (TX) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15025 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1104415058
Sally Davis, L.P.C., L.C.D.C.'s National Provider Identifier is 1104415058, issued on Jan 14, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lubbock, TX. The record was last updated on Jun 26, 2023.