Individual
MR. ERIC L. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8110 MADISON AVE, INDIANAPOLIS, IN 46227-6076
(317) 887-3290
Mailing address
1515 E MILLS AVE, INDIANAPOLIS, IN 46227-3736
(317) 887-3290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34005462A
IN
101YM0800X
Mental Health Counselor
—
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Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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