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Shane Davison
Professional Counselor in Lake Jackson, Texas
NPI 1902462500

Shane Davison is a Professional Counselor based in Iowa Colony, TX and is specialized in Professional. Shane Davison practices in Lake Jackson, TX. The NPI Number for Shane Davison is 1902462500 and holds a License No. 78160 (Texas).

The current practice location address for Shane Davison is 210 Lake Rd Ste 700A, Lake Jackson, TX and can be reached out via phone at 979-285-9242.

Location: 210 Lake Rd Ste 700A, Lake Jackson, TX, 77583-1603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902462500
Provider Name
Shane Davison
Credential
Provider Entity Type
Individual
Gender
Male
Address
210 Lake Rd Ste 700A, Lake Jackson, TX, 77583-1603
Phone Number
979-285-9242
Fax Number
Provider Enumeration Date
05/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 Lake Rd Ste 700A
City
Lake Jackson
State
Texas
Zip
77566-4988
Phone Number
979-285-9242
Fax Number
person
Provider Business Mailing Address Details
Address
210 Lake Rd Ste 700A
City
Lake Jackson
State
Texas
Zip
77566-4988
Phone Number
979-285-9242
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
78160 (Texas)
Definition
Definition to come...
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