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Shane Davis
Professional Counselor in Fredericksburg, Virginia
NPI 1164071379

Shane Davis is a Professional Counselor based in Fredericksburg, VA and is specialized in Professional. Shane Davis practices in Fredericksburg, VA. The NPI Number for Shane Davis is 1164071379 and holds a License No. 0701008416 (Virginia).

The current practice location address for Shane Davis is 4532 Plank Rd, Fredericksburg, VA and can be reached out via phone at 804-230-0999.

Location: 4532 Plank Rd, Fredericksburg, VA, 22407-0139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164071379
Provider Name
Shane Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
4532 Plank Rd, Fredericksburg, VA, 22407-0139
Phone Number
804-230-0999
Fax Number
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4532 Plank Rd
City
Fredericksburg
State
Virginia
Zip
22407-0139
Phone Number
804-230-0999
Fax Number
person
Provider Business Mailing Address Details
Address
4532 Plank Rd
City
Fredericksburg
State
Virginia
Zip
22407-0139
Phone Number
804-230-0999
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701008416 (Virginia)
Definition
Definition to come...
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