Individual
LAURA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 FIFTH AVE STE 100, KETCHIKAN, AK 99901-5773
(907) 463-0624
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
09/19/2024
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