| Doctor Name: | DEENA RAE DAVIS |
| NPI Number: | 1750555876 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 62247 |
| Business Practice Address: | 2665 Fm 636 Kerens, TX - 751444053 |
| Business Phone Number: | 9033962627 |
| Business Fax Number: | |
| Mailing Address: | 2665 Fm 636, KERENS |
| State: | TX |
| Postal Code: | 751444053 |
| Phone Number: | 9033962627 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 04/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 62247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |