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NPI Code Detail

MEDICARE: BRITTANY NOELL DAVIS LPC, NCC

MEDICARE: BRITTANY NOELL DAVIS LPC, NCC
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 Counselor2886WV

General Provider Information

NPI Number : 1013776640
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY NOELL DAVIS LPC, NCC
Provider Business Mailing Address
First Line : 425 INDUSTRIAL AVE STE 201
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-2287
Country : US
Telephone Number : 304-241-1854
Fax Number : 304-381-2029
Provider Business Practice Location Address
First Line : 425 INDUSTRIAL AVE STE 201
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-2287
Country : US
Telephone Number : 304-241-1854
Fax Number : 304-381-2029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/18/2024

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