IndividualActive
Fred Davis, LPC
NPI 1942464904 · Marriage & Family Therapist · Jackson, MS
Provider details
- NPI number
- 1942464904
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 1340 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
431 N State St
Jackson, MS 39201-1108
Phone: (601) 949-1949
Fax: (601) 714-6922
Approximate (ZIP-level) locationGet directions
Mailing address
1 Waterford Pl
Jackson, MS 39211-2900
Registry dates
- Enumerated
- 2008-07-17
- Last updated
- 2008-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.