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Ebony L Davidson, LPC
Professional Counselor in Bridgeport, Connecticut
NPI 1063799187

Ebony L Davidson is a Professional Counselor based in Monroe, CT and is specialized in Professional. Ebony L Davidson practices in Bridgeport, CT and has the professional credentials of LPC. The NPI Number for Ebony L Davidson is 1063799187 and holds a License No. (Connecticut).

The current practice location address for Ebony L Davidson is 629 Jewett Ave, Bridgeport, CT and can be reached out via phone at 850-264-2100.

Location: 629 Jewett Ave, Bridgeport, CT, 28110-5400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063799187
Provider Name
Ebony L Davidson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
629 Jewett Ave, Bridgeport, CT, 28110-5400
Phone Number
850-264-2100
Fax Number
Provider Enumeration Date
11/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
629 Jewett Ave
City
Bridgeport
State
Connecticut
Zip
06606-2836
Phone Number
850-264-2100
Fax Number
person
Provider Business Mailing Address Details
Address
629 Jewett Ave
City
Bridgeport
State
Connecticut
Zip
06606-2836
Phone Number
850-264-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
3765 (Connecticut)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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