Individual
FRED DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 441-0200
Mailing address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 441-0200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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