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Individual
VANESSA DAVIS
Active
Individual
VANESSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-06-11177
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2338
OR
101YM0800X
Mental Health Counselor
23-QMHA-I-003955
OR
101YM0800X
Mental Health Counselor
23-QMHA-R-3548
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/16/2021
Last updated
06/18/2026
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