JONATHAN DAVIDSON

ASHLAND, KY
NPI1932840717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: KY  285732)
Additional Taxonomies103T00000X Psychologist
Enumeration Date2022-04-05
Last Update Date2023-07-27
Business Address
JONATHAN DAVIDSON
201 22ND ST
ASHLAND, KY 41101-7803
Phone number: 606-324-1141
Mailing Address
JONATHAN DAVIDSON
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: