Individual provider · Type 1 NPI

Jason Davis, L.P.C.C.

Professional Counselor · Medina, OH

NPI number 1235677279 Active

Practice location

801 E Washington St
Medina, OH 44256-3335

Fax (330) 764-9712

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC.1500589 (OH)
Professional Counselor Primary 101YP2500XE.1901564 (OH)

Professional Counselor: Definition to come...

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About NPI 1235677279

Jason Davis, L.P.C.C.'s National Provider Identifier is 1235677279, issued on Feb 10, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medina, OH. The record was last updated on Dec 16, 2019.