Individual
JULIE CANNIFFE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, CSAC, CADC II
Contact information
Practice address
3047 JEANNIE ANNA CT, HERNDON, VA 20171-4071
(215) 266-9517
Mailing address
3047 JEANNIE ANNA CT, HERNDON, VA 20171-4071
(215) 266-9517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1198
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
710103757
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28910
NC
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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