Individual
MR. EDWARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 S PORTAGE PATH, AKRON, OH 44320-2325
(330) 253-4597
Mailing address
415 S PORTAGE PATH, AKRON, OH 44320-2327
(330) 253-4597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C.1100548-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9277202
—
OH
Enumeration date
07/16/2012
Last updated
07/16/2012
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