Individual
NATASHA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
5699 GENESEE RD, LAPEER, MI, LAPEER, MI 48446-2749
(810) 969-4561
Mailing address
2004 FOX HILL DR, APT 7, GRAND BLANC, MI 48439-5244
(810) 969-4561
(810) 969-4563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801100067
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
6801100067
MI
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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