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Individual
DR. DEXTER JUAN DAVIS
Active
Individual
DR. DEXTER JUAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00197500
NJ
101YM0800X
Mental Health Counselor
37LC00197500
NJ
101YP2500X
Professional Counselor
37LC00197500
NJ
106H00000X
Marriage & Family Therapist
37LC00197500
NJ
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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