Individual provider · Type 1 NPI

Martha Karen Davis, LAC

Mental Health Counselor · Conway, AR

NPI number 1649674300 Active

Practice location

1014 Main St
Conway, AR 72032-5426

Fax (501) 336-4037

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA1407099 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1649674300

Martha Karen Davis, LAC's National Provider Identifier is 1649674300, issued on Oct 9, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, AR. The record was last updated on Oct 9, 2014.