Individual provider · Type 1 NPI
Derica Lynn Davis, LPC-A
Professional Counselor · Cedar Hill, TX
NPI number
1710640784
Active
Practice location
610 Uptown Blvd Ste 240
Cedar Hill, TX 75104-3528
Mailing address
1330 Heritage Hill Dr
Desoto, TX 75115-7722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 84254 (TX) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1710640784
Derica Lynn Davis, LPC-A's National Provider Identifier is 1710640784, issued on Oct 18, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cedar Hill, TX. The record was last updated on Oct 18, 2021.