Individual provider · Type 1 NPI

Bertram Davis

Mental Health Counselor · Bassett, VA

NPI number 1376374629 Active

Practice location

255 Riverside Dr
Bassett, VA 24055-4299

Mailing address

8033 Summit Park Dr
Pfafftown, NC 27040-9840

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1376374629

Bertram Davis's National Provider Identifier is 1376374629, issued on Aug 9, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bassett, VA. The record was last updated on Aug 9, 2024.