Individual provider · Type 1 NPI

Thomas Davison

Professional Counselor · Shreveport, LA

NPI number 1497199459 Active

Practice location

8873 Quimper Pl
Shreveport, LA 71105-5620

Fax (318) 686-0012

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0082561 (NM)
Professional Counselor Primary 101YP2500X5752 (LA)
Professional Counselor 101YP2500X0158731 (NM)

Professional Counselor: Definition to come...

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About NPI 1497199459

Thomas Davison's National Provider Identifier is 1497199459, issued on Apr 22, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Oct 10, 2013.