Individual
JONATHAN THOMAS-MILLER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, CRCR, CCFA
Contact information
Practice address
4340 VERMONT AVE, COVINGTON, KY 41015-1657
(859) 992-6321
Mailing address
4340 VERMONT AVE, COVINGTON, KY 41015-1657
(859) 992-6321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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