Individual
MR. CRAIG ALLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6400
(928) 213-6409
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6400
(928) 213-6409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LASAC-13102
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-14134
AZ
Other
Enumeration date
02/20/2009
Last updated
07/08/2014
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