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Individual
JEFFERY DAVIS
Active
Individual
JEFFERY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MLADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0578
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
0939
NH
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163087
CIGNA
NH
01
—
7706660Y0NH01
BLUE CROSS
NH
Enumeration date
11/30/2006
Last updated
03/22/2021
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