Individual
ANDREA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
4578 GALLIA PIKE, FRANKLIN FURNACE, OH 45629-8600
(740) 351-0008
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
131014
OH
104100000X
Social Worker
1700245
OH
Other
Enumeration date
11/11/2017
Last updated
11/15/2018
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