| Dr Jimmy Davis, LCDC, LCPC, CFC | |
|
367 Waterfront Row, Quitman, TX 75783-3558 | |
| (214) 463-8142 | |
| Not Available |
| Full Name | Dr Jimmy Davis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 367 Waterfront Row, Quitman, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255705380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6594 (Texas) | Primary |
| 101YP1600X | Counselor - Pastoral | 7347688 (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jimmy Davis, LCDC, LCPC, CFC 367 Waterfront Row, Quitman, TX 75783-3558 Ph: (214) 463-8142 | Dr Jimmy Davis, LCDC, LCPC, CFC 367 Waterfront Row, Quitman, TX 75783-3558 Ph: (214) 463-8142 |
Ms. Marykay Shepherd, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 County Road 4186, Quitman, TX 75783 Phone: 903-967-2629 Fax: 903-967-2629 |