Individual
JAMES E DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
825 E HIGH ST, SPRINGFIELD, OH 45505-1198
(937) 323-0951
(937) 933-4050
Mailing address
5756 WILLOWDALE RD, SPRINGFIELD, OH 45502-8910
(937) 323-0951
(937) 933-4050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E0000731
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
E0000731
OH
106H00000X
Marriage & Family Therapist
E0000731
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265764692
GROUP NPI
OH
Enumeration date
04/19/2010
Last updated
04/19/2010
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