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Individual
RICHARD DAVID DAVIDSON
Active
Individual
RICHARD DAVID DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LADC, CRC, CVRT,
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
NULL
103TR0400X
Rehabilitation Psychologist
—
NULL
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
02/06/2008
Last updated
08/25/2015
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