LON 'MARK' DAVIS

WAYNESVILLE, MO
NPI1700955622
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: MO  2002020622)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
LON 'MARK' DAVIS LPC, NCC
20157 SALINA RD.
WAYNESVILLE, MO 65583
Phone number: 573-528-3671
Mailing Address
LON 'MARK' DAVIS LPC, NCC
PO BOX 122
WAYNESVILLE, MO 65583-0122
Phone number: 573-528-3671