Individual provider · Type 1 NPI

Thaddeus Davis

Mental Health Counselor · Marietta, GA

NPI number 1124490321 Active

Practice location

1236 Sedgefield Rd
Marietta, GA 30062-2350

Call (678) 768-4818 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124490321

Thaddeus Davis's National Provider Identifier is 1124490321, issued on Oct 27, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, GA. The record was last updated on Oct 27, 2015.