Individual provider · Type 1 NPI

Lynnetta Marie Davis, MS

Mental Health Counselor · Milwaukee, WI

NPI number 1407051980 Active

Practice location

4243 N 19th St, 4929 Wfond Du Lac Ave
Milwaukee, WI 53209-6829

Call (414) 871-6122 Map

Fax (414) 871-2552

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407051980

Lynnetta Marie Davis, MS's National Provider Identifier is 1407051980, issued on Jun 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.