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NPI Profile for AMBER C DAVIS in BOWLING GREEN, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1275831174 |
|
| Status | Active | |
| Credentials | MA, LPCC, LPC-MHSP, | |
| Entity | Individual | |
| Enumeration date | 03/02/2011 | |
| Last updated | 11/25/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMBER C DAVIS
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AMBER C DAVIS, MA, LPCC, LPC-MHSP,