Individual
MRS. JANET L. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3560 KESSLER BLVD NORTH DR, INDIANAPOLIS, IN 46222-5801
(317) 750-5011
Mailing address
3560 KESSLER BLVD NORTH DR, INDIANAPOLIS, IN 46222-5801
(317) 750-5011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-1927
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2-1927
ICAADA
IN
Enumeration date
10/27/2022
Last updated
10/27/2022
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