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Larry D Davis JR.
Mental Health Counselor in Woodbridge, Virginia
NPI 1447023544

Larry D Davis JR. is a Mental Health Counselor based in Herndon, VA and is specialized in Mental Health. Larry D Davis JR. practices in Woodbridge, VA. The NPI Number for Larry D Davis JR. is 1447023544 and holds a License No. 0734005487 (Virginia).

The current practice location address for Larry D Davis JR. is 13601 Office Pl Ste 201, Woodbridge, VA and can be reached out via phone at 703-492-8939.

Location: 13601 Office Pl Ste 201, Woodbridge, VA, 20171-4313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447023544
Provider Name
Larry D Davis JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
13601 Office Pl Ste 201, Woodbridge, VA, 20171-4313
Phone Number
703-492-8939
Fax Number
Provider Enumeration Date
11/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13601 Office Pl Ste 201
City
Woodbridge
State
Virginia
Zip
22192-4213
Phone Number
703-492-8939
Fax Number
person
Provider Business Mailing Address Details
Address
13601 Office Pl Ste 201
City
Woodbridge
State
Virginia
Zip
22192-4213
Phone Number
703-492-8939
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0734005487 (Virginia)
Definition
Definition to come...
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