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Individual
JOHN DAVID DAVIS
Active
Individual
JOHN DAVID DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT-241
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
08/11/2022
Last updated
12/05/2025
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