Individual provider · Type 1 NPI

Jacquetta C. Davis, LPC

Mental Health Counselor · Shreveport, LA

NPI number 1265802938 Active

Practice location

856 Texas Ave
Shreveport, LA 71101-3400

Call (318) 429-6977 Map

Mailing address

429 Jordan Dr Apt 1212
Bossier City, LA 71112-4079

Other practice locations

  • 8911 Youree Dr, Apt 1212, Shreveport, LA 71115-3007 · (318) 771-1542

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Mental Health Counselor 101YM0800X5769 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1265802938

Jacquetta C. Davis, LPC's National Provider Identifier is 1265802938, issued on Oct 6, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Dec 8, 2020.