Individual provider · Type 1 NPI

Amanda L. Davis, LAC

Professional Counselor · Jacksonville, AR

NPI number 1144613472 Active

Practice location

2126 N 1st St Ste F
Jacksonville, AR 72076-2868

Call (501) 982-5000 Map

Fax (501) 982-5007

Mailing address

1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA1610130 (AR)
Case Manager/Care Coordinator 171M00000XNone listed

Professional Counselor: Definition to come...

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About NPI 1144613472

Amanda L. Davis, LAC's National Provider Identifier is 1144613472, issued on Mar 11, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jacksonville, AR. The record was last updated on May 14, 2018.