Jessica D Davis, EDD, LPC, NCC
Individual provider Active NPI Professional Counselor · Fresno, TX
NPI 1942490701 · NPPES record last updated Jul 27, 2007
Key facts
- NPI
- 1942490701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 60907 (TX)
- Practice address
- 3802 Teal Maple CT
Fresno, TX 77545-8855 - Phone
- (832) 423-1757
- NPI assigned
- Jul 27, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60907 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 60907 | TX | Yes |
Addresses
Primary practice location
3802 Teal Maple CT
Fresno, TX 77545-8855
Mailing address
PO Box 88368
Houston, TX 77288-0368
Phone (832) 423-1757
Other providers in Fresno, TX
- Linesey Cupidon
- Chann-Tia Mychelle Curry,
- CZP Commercial Projects
- D and a Home Healthcare Inc
- Stephanie Dang
- Rataisha Davis
- Wardell Dean III
- Tosha R Dearbone
- Brittney Janee Delasbour
- Dicom Health Care Services Inc.
All providers in Fresno, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.