Individual
BRIAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
16 TOWN CRIER DR, SUITE 1, BRATTLEBORO, VT 05301-8669
(802) 258-4629
Mailing address
PO BOX 1664, WILMINGTON, VT 05363-1664
(802) 598-2900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0680000439
VT
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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