Individual
DR. LARENA M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, LCADC, CCS
Contact information
Practice address
761 CUTHBERT BLVD, CHERRY HILL, NJ 08002-3417
(856) 890-9449
Mailing address
133 POLK LN, BRIDGETON, NJ 08302
(856) 455-7575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
11/13/2020
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