NPI 1336435718

Gary S Davis

Practitioner Art Therapist Fort Defiance, AZ

Practice location

Address: Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649
Phone: (928) 729-3741
Fax: (928) 729-8943
Mailing address: PO Box 649, Fort Defiance, AZ 86504-0649

Registered specialties (2)

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X Licence 303490 (NM)

Other Art Therapist providers in Arizona →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 303490 (NM)

Other Counselor providers in Arizona →

Registry record

NPI: 1336435718
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2011
Record last updated: 11 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.