Individual
MS. KENYA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A&D COUNSELOR, TRAIN
Contact information
Practice address
39 E CHURCHVILLE RD, SUITE 200, BEL AIR, MD 21014-3800
(410) 420-6572
Mailing address
1107 TACE DR, APT. 2B, ESSEX, MD 21221-5723
(443) 854-3447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TRAINEE STATUS
MD
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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