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1528353257
JONATHAN DAVID DAVIS
PUEBLO, CO
NPI
1528353257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0012457)
Enumeration Date
2011-06-10
Last Update Date
2022-01-14
Business Address
JONATHAN DAVID DAVIS M.A., LPC
1304 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-545-2746
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Mailing Address
JONATHAN DAVID DAVIS M.A., LPC
1012 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-583-2007
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