Individual
BREANNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 JACKMAN RD, TOLEDO, OH 43612-1146
(216) 208-0634
Mailing address
1647 ELEANOR AVE, TOLEDO, OH 43612-2020
(419) 290-9400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.165987
OH
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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