Alta Davis's National Provider Identifier (NPI) Details
Alta Davis, LPC
NPI: 1801301544
Enumeration Date: 2017-12-04
Last updated: 2017-12-04
Sole Proprietor: YES
Status: active
Postal Address: 18629 W MCNICHOLS RD, DETROIT, MI
Phone: 313-541-1350
Primary Practice Address: 18629 W MCNICHOLS RD, DETROIT, MI
Practice's phone: 313-541-1350