person
Jerry Davis, LMHC
Mental Health Counselor in Greensburg, Indiana
NPI 1457323560

Jerry Davis is a Mental Health Counselor based in Columbus, IN and is specialized in Mental Health. Jerry Davis practices in Greensburg, IN and has the professional credentials of LMHC. The NPI Number for Jerry Davis is 1457323560 and holds a License No. 39001542A (Indiana).

The current practice location address for Jerry Davis is 1530 Commerce Park West Drive, Greensburg, IN and can be reached out via phone at 812-663-7057 and via fax at 812-378-8367.

Location: 1530 Commerce Park West Drive, Greensburg, IN, 47201-6660
person
Provider Profile Details
NPI Number
1457323560
Provider Name
Jerry Davis
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
1530 Commerce Park West Drive, Greensburg, IN, 47201-6660
Phone Number
812-663-7057
Fax Number
812-378-8367
Provider Enumeration Date
02/02/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000321018 01 IN ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
1530 Commerce Park West Drive
City
State
Zip
47240
Phone Number
812-663-7057
Fax Number
812-378-8367
person
Provider Business Mailing Address Details
Address
1530 Commerce Park West Drive
City
State
Zip
47240
Phone Number
812-663-7057
Fax Number
812-378-8367
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39001542A (Indiana)
Definition
Definition to come...
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