Search › Minnesota › 101YM0800X
Jeremy Davis, LPCC, LPC, LADC, SAC
NPI 1518208206 · on the registry since 2013
Practice
- Address
- 8200 Humboldt Ave S Ste 100
Bloomington, MN 55431 - Phone
- (952) 454-0421
- Organisation at this address
- Hwc Homes
Aqua Wellness Llc
Hero Kid Center Llc
Newbridge Clinic P.A.
We Care Autism Center Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 59
Additional practice sites
- 405 Stageline Rd, Hudson, WI
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
101YA0400X
101YA0400X - Licence states on file
- WI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota