Individual
JUAN DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20576 COASTAL HWY, REHOBOTH BEACH, DE 19971-8062
(302) 227-1320
Mailing address
20576 COASTAL HWY, REHOBOTH BEACH, DE 19971-8062
(302) 227-1320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1241
DE
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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