FRED G. DAVIS

JACKSON, MS
NPI1942464904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: MS  1340)
Enumeration Date2008-07-17
Last Update Date2008-07-17
Business Address
MR. FRED G. DAVIS LPC
431 N STATE ST
JACKSON, MS 39201-1108
Phone number: 601-949-1949
Mailing Address
MR. FRED G. DAVIS LPC
1 WATERFORD PL
JACKSON, MS 39211-2900
Phone number: 601-624-2300