Individual
DAVIS M SHRYER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LPCC
Contact information
Practice address
195 5TH STREET EAST, #1408, SAINT PAUL, MN 55101
(651) 308-5540
(763) 537-6666
Mailing address
195 5TH ST E APT 1408, SAINT PAUL, MN 55101-2965
(651) 308-5540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302852
MN
101YP2500X
Professional Counselor
Primary
CC13026
MN
Other
Enumeration date
04/26/2016
Last updated
07/02/2024
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