Provider Demographics
NPI:1184821217
Name:DAVIS, MARION (COUNSELOR)
Entity type:Individual
Prefix:MRS
First Name:MARION
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:MARION
Other - Middle Name:
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 11265
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-0265
Mailing Address - Country:US
Mailing Address - Phone:919-237-2225
Mailing Address - Fax:
Practice Address - Street 1:1812 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-2271
Practice Address - Country:US
Practice Address - Phone:919-237-2225
Practice Address - Fax:919-237-2226
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool