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Jacquetta C. Davis, LPC
Mental Health Counselor in Shreveport, Louisiana
NPI 1265802938

Jacquetta C. Davis is a Mental Health Counselor based in Bossier City, LA and is specialized in Mental Health. Jacquetta C. Davis practices in Shreveport, LA and has the professional credentials of LPC. The NPI Number for Jacquetta C. Davis is 1265802938 and holds a License No. (Louisiana).

The current practice location address for Jacquetta C. Davis is 856 Texas Ave, Shreveport, LA and can be reached out via phone at 318-429-6977.

Location: 856 Texas Ave, Shreveport, LA, 71112-4079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265802938
Provider Name
Jacquetta C. Davis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
856 Texas Ave, Shreveport, LA, 71112-4079
Phone Number
318-429-6977
Fax Number
Provider Enumeration Date
10/06/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265802938 05 LA
institution
Provider Business Practice Location Address Details
Address
856 Texas Ave
City
Shreveport
State
Louisiana
Zip
71101-3400
Phone Number
318-429-6977
Fax Number
person
Provider Business Mailing Address Details
Address
856 Texas Ave
City
Shreveport
State
Louisiana
Zip
71101-3400
Phone Number
318-429-6977
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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