Individual provider · Type 1 NPI

Carl Davis

Mental Health Counselor · Coweta, OK

NPI number 1134476765 Active

Practice location

324 E Chestnut St
Coweta, OK 74429-2532

Mailing address

13600 S 285th East Ave
Coweta, OK 74429-7015

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134476765

Carl Davis's National Provider Identifier is 1134476765, issued on Aug 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coweta, OK. The record was last updated on Aug 14, 2012.