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Mrs. Sue Ellen Davis, LPC
Professional Counselor in Vernon, Texas
NPI 1821038845

Sue Ellen Davis is a Professional Counselor based in Vernon, TX and is specialized in Professional. Sue Ellen Davis practices in Vernon, TX and has the professional credentials of LPC. The NPI Number for Sue Ellen Davis is 1821038845 and holds a License No. 4016 (Texas).

The current practice location address for Sue Ellen Davis is 1914 Paradise St, Vernon, TX and can be reached out via phone at 940-553-1631 and via fax at 940-553-1631.

Location: 1914 Paradise St, Vernon, TX, 76384-8111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821038845
Provider Name
Sue Ellen Davis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1914 Paradise St, Vernon, TX, 76384-8111
Phone Number
940-553-1631
Fax Number
940-553-1631
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4062LC 01 TX BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1914 Paradise St
City
Vernon
State
Texas
Zip
76384-8111
Phone Number
940-553-1631
Fax Number
940-553-1631
person
Provider Business Mailing Address Details
Address
1914 Paradise St
City
Vernon
State
Texas
Zip
76384-8111
Phone Number
940-553-1631
Fax Number
940-553-1631
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4016 (Texas)
Definition
Definition to come...
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