Individual provider · Type 1 NPI
Jimmy Davis, LCDC, LCPC, CFC
Addiction (Substance Use Disorder) Counselor · Quitman, TX
NPI number
1255705380
Active
Practice location
367 Waterfront Row
Quitman, TX 75783-3558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 6594 (TX) |
| Pastoral Counselor | 101YP1600X | 7347688 (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1255705380
Jimmy Davis, LCDC, LCPC, CFC's National Provider Identifier is 1255705380, issued on Dec 1, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Quitman, TX. The record was last updated on Jul 18, 2016.