Individual
CORTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191-6600
(702) 653-3880
Mailing address
3580 E ALEXANDER RD APT 1010, LAS VEGAS, NV 89115-0291
(757) 761-1239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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