Individual
VANESSA D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
4565 KENDALL PKWY, LOVELAND, CO 80538-9268
(970) 410-8228
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021258
CO
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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