Dr. Jerry Eugene Davis, PHD - Fort Wayne, IN

Dr. Jerry Eugene Davis, PHD

Marriage & Family Therapist in Fort Wayne, Indiana

NPI 1205935392

Jerry Eugene Davis is a Marriage & Family Therapist based in Huntington, IN. Jerry Eugene Davis practices in Fort Wayne, IN and has the professional credentials of PHD. The NPI Number for Jerry Eugene Davis is 1205935392 and holds a License No. 39000593A (Indiana).

The current practice location address for Jerry Eugene Davis is 2821 Hillegas Rd, Fort Wayne, IN and can be reached out via phone at 260-471-1950 and via fax at 260-471-1950. You can also correspond with Jerry Eugene Davis through the mailing address at 1406 CHERRY ST, HUNTINGTON, IN - 46750-1844 (mailing address contact number: 260-356-1605).

Location: 2821 Hillegas Rd, Fort Wayne, IN, 46750-1844

NPI Number

1205935392

Provider Name

Jerry Eugene Davis

Credential

PHD

Provider Entity Type

Individual

Gender

Male

Address

2821 Hillegas Rd, Fort Wayne, IN, 46750-1844

Phone Number

260-471-1950

Fax Number

260-471-1950

Provider Enumeration Date

09/22/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
000000183652	01	IN	ANTHEM BCBS
7389148	01	IN	AETNA

Address

2821 Hillegas Rd

City

Fort Wayne

State

Indiana

Zip

46808-3859

Phone Number

260-471-1950

Fax Number

260-471-1950

Address

2821 Hillegas Rd

City

Fort Wayne

State

Indiana

Zip

46808-3859

Phone Number

260-471-1950

Fax Number

260-471-1950

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Mental Health

Taxonomy

101YM0800X

License No.

35000571A (Indiana)

Definition

Definition to come...

Type

Behavioral Health & Social Service Providers

Classification

Social Worker

Speciality

Clinical

Taxonomy

1041C0700X

License No.

34002606A (Indiana)

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Type

Behavioral Health & Social Service Providers

Classification

Marriage & Family Therapist

Speciality

Taxonomy

106H00000X

License No.

39000593A (Indiana)

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

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