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Mr. Jacob Michael Davis, LMHC
Mental Health Counselor in Milton, Florida
NPI 1770975625

Jacob Michael Davis is a Mental Health Counselor based in Milton, FL and is specialized in Mental Health. Jacob Michael Davis practices in Milton, FL and has the professional credentials of LMHC. The NPI Number for Jacob Michael Davis is 1770975625 and holds a License No. MH15870 (Florida).

The current practice location address for Jacob Michael Davis is 5642 Jones St, Milton, FL and can be reached out via phone at 850-626-7779 and via fax at 850-626-7171.

Location: 5642 Jones St, Milton, FL, 32570-2304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770975625
Provider Name
Jacob Michael Davis
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
5642 Jones St, Milton, FL, 32570-2304
Phone Number
850-626-7779
Fax Number
850-626-7171
Provider Enumeration Date
03/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119123400 05 FL
institution
Provider Business Practice Location Address Details
Address
5642 Jones St
City
Milton
State
Florida
Zip
32570-2304
Phone Number
850-626-7779
Fax Number
850-626-7171
person
Provider Business Mailing Address Details
Address
5642 Jones St
City
Milton
State
Florida
Zip
32570-2304
Phone Number
850-626-7779
Fax Number
850-626-7171
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH15870 (Florida)
Definition
Definition to come...
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