Individual
DESTINY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 SULLIVANT AVE, COLUMBUS, OH 43204-1837
(614) 655-8956
Mailing address
3225 SULLIVANT AVE, COLUMBUS, OH 43204-1837
(614) 655-8956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.184982
OH
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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