Individual
MS. SALLY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS AND LCADC
Contact information
Practice address
831 CLINTON ST, APT 13, HOBOKEN, NJ 07030
(201) 795-9223
Mailing address
831 CLINTON ST, APT 13, HOBOKEN, NJ 07030
(201) 795-9223
(201) 792-8655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00080700
NJ
364S00000X
Clinical Nurse Specialist
26NC05192400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6913300
—
NJ
Enumeration date
03/26/2007
Last updated
09/11/2025
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