Individual
MS. REBECCA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
5599 HIGHWAY 311, HOUMA, LA 70360-2866
(985) 857-3615
(985) 857-3706
Mailing address
5599 HIGHWAY 311, HOUMA, LA 70360-2866
(985) 857-3615
(985) 857-3706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1333
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2612
LA
Other
Enumeration date
10/28/2008
Last updated
05/08/2015
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