Individual
JACQUELINE KAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER RECOVERY SUPPOR
Contact information
Practice address
1200 WOODBOOK LANE, STE A, STE A, COLUMBUS, OH 43223
(614) 398-3470
Mailing address
30 W SPRING ST, COLUMBUS, OH 43215-2216
(614) 466-7738
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
00002604
OH
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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