Individual provider · Type 1 NPI

Jordan Tavvia Davis

Mental Health Counselor · South Weymouth, MA

NPI number 1386385797 Active

Practice location

55 Fogg Rd
South Weymouth, MA 02190-2432

Mailing address

500 Victory Rd
Quincy, MA 02171-3139

Other practice locations

  • 384 Washington St, Norwell, MA 02061-2010 · (781) 871-6550

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1386385797

Jordan Tavvia Davis's National Provider Identifier is 1386385797, issued on Apr 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Weymouth, MA. The record was last updated on Jan 30, 2023.