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NPI Code Detail

MEDICARE: MRS. MARION DAVIS COUNSELOR

MEDICARE: MRS. MARION DAVIS COUNSELOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor
3101YS0200XSchool Counselor

General Provider Information

NPI Number : 1184821217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARION DAVIS COUNSELOR
Provider Business Mailing Address
First Line : PO BOX 11265
Second Line :
City : DURHAM
State : NC
Zip : 27703-0265
Country : US
Telephone Number : 919-237-2225
Fax Number :
Provider Business Practice Location Address
First Line : 1812 LIBERTY ST
Second Line :
City : DURHAM
State : NC
Zip : 27703-2271
Country : US
Telephone Number : 919-237-2225
Fax Number : 919-237-2226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 09/11/2025

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