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Individual

ADAYSIA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHC-LP

Contact information

Practice address
175 FULTON AVE STE 403, HEMPSTEAD, NY 11550-3702
(516) 486-3222
Mailing address
50 MARGARET DR, ROOSEVELT, NY 11575-1535
(516) 448-9575

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
04/10/2019
Last updated
04/10/2019
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