Individual
MEMORY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CAC II
Contact information
Practice address
17155 E NASSAU PL, AURORA, CO 80013-3203
(303) 564-5304
Mailing address
17155 E NASSAU PL, AURORA, CO 80013-3203
(303) 564-5304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6344
CO
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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