Individual
KANIKA WENONA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CACP
Contact information
Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9430
(803) 726-9485
Mailing address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9430
(803) 726-9485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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