Individual provider · Type 1 NPI

Shane Davis

Professional Counselor · Fredericksburg, VA

NPI number 1164071379 Active

Practice location

4532 Plank Rd
Fredericksburg, VA 22407-0139

Call (804) 230-0999 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701008416 (VA)

Professional Counselor: Definition to come...

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About NPI 1164071379

Shane Davis's National Provider Identifier is 1164071379, issued on Sep 10, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fredericksburg, VA. The record was last updated on Oct 3, 2019.