Individual
MR. ANDREW M DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,LCADC
Contact information
Practice address
1387 LEXINGTON RD FRNT HOUSE, LOUISVILLE, KY 40206-1926
(502) 387-9074
Mailing address
2021 LAKESIDE DR, LOUISVILLE, KY 40205-2128
(502) 387-9074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADCLAD00225188
KY
1041C0700X
Clinical Social Worker
Primary
3549
KY
Other
Enumeration date
04/06/2007
Last updated
03/08/2018
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