Davidson, Ebony L

Davidson, Ebony L is an sole proprietor health care provider with primary practice located at 629 Jewett Ave , Bridgeport CT 06606-2836. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Davidson, Ebony L can be contacted via phone (850) 264-2100.

Contact Information

Primary practice address
629 Jewett Ave Bridgeport CT 06606-2836
Phone: (850) 264-2100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 3765 Connecticut

Profile Details

NPI number 1063799187
LBN Legal business name Davidson, Ebony L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2011
Last updated Jul 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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