Individual provider · Type 1 NPI

Jerry Davis

Mental Health Counselor · Brooklyn, NY

NPI number 1932300563 Active

Practice location

348 13th St
Brooklyn, NY 11215-5004

Call (718) 788-2461 Map

Fax (718) 788-8274

Mailing address

296 12th St Apt 4L
Brooklyn, NY 11215-4984

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1932300563

Jerry Davis's National Provider Identifier is 1932300563, issued on May 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.