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Individual

MR. JOSHUA BLAKE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11861 COURSEY BLVD, NULL, BATON ROUGE, LA 70816
(225) 612-8656
Mailing address
11861 COURSEY BLVD, NULL, BATON ROUGE, LA 70816
(225) 612-8656

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
08/12/2024
Last updated
08/12/2024
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