Individual provider · Type 1 NPI
Demetrick Lewayne Davis Sr.
Counselor · Oklahoma City, OK
NPI number
1659632503
Active
Practice location
3208 NE Overbrook Dr
Oklahoma City, OK 73121-2853
Mailing address
3208 N.e. Overbrook Dr.
Oklahoma City, OK 73121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1659632503
Demetrick Lewayne Davis Sr.'s National Provider Identifier is 1659632503, issued on Jun 6, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 6, 2012.