Individual provider · Type 1 NPI
Latisa Naomi Davidson
Mental Health Counselor · Fort Towson, OK
NPI number
1396274270
Active
Practice location
434272 State Highway 3
Fort Towson, OK 74735-7514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1396274270
Latisa Naomi Davidson's National Provider Identifier is 1396274270, issued on Jun 5, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Towson, OK. The record was last updated on Jul 21, 2022.