BENNAE EMON DAVIS LPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1134862618- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 54 MALBONE RD, NEWPORT, RI, 028401746
- Phone
- (404) 838-8770
Specialties & Taxonomies
Counselor, Professional
Primary License: IL #178-017645