Individual provider · Type 1 NPI

Juanita Davis, LCSW

Mental Health Counselor · Lawrenceville, GA

NPI number 1508301458 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Call (678) 209-2394 Map

Mailing address

2910 Monticello Pl
Decatur, GA 30030-4613

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCSW003751 (GA)
Mental Health Counselor Primary 101YM0800XCSW003751 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1508301458

Juanita Davis, LCSW's National Provider Identifier is 1508301458, issued on Jan 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Jan 2, 2017.