Individual provider · Type 1 NPI

Andrea D. Davis, M.ED., LPCA

Mental Health Counselor · Vine Grove, KY

NPI number 1972243020 Active

Practice location

104 N Trey Ct
Vine Grove, KY 40175-8688

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC.2204076 (OH)
Mental Health Counselor Primary 101YM0800X267994 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1972243020

Andrea D. Davis, M.ED., LPCA's National Provider Identifier is 1972243020, issued on Mar 29, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vine Grove, KY. The record was last updated on Mar 29, 2022.