Individual
LUCIA BELLINGER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC2
Contact information
Practice address
8 SCOFIELD ST, WALDEN, NY 12586-1710
(845) 778-5628
(845) 778-5168
Mailing address
PO BOX 211, NEW PALTZ, NY 12561-0211
(917) 359-0095
(518) 514-1417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24487
NYS OASAS
NY
Enumeration date
07/29/2020
Last updated
07/29/2020
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