Individual
NATASHA RACHEL DAVALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 ROUTE 70 E STE A-101, MARLTON, NJ 08053-2341
(717) 571-0065
(717) 571-0065
Mailing address
765 ROUTE 70 E STE A-101, MARLTON, NJ 08053-2341
(717) 571-0065
(717) 571-0065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00375300
NJ
101YM0800X
Mental Health Counselor
37GA00044700
NJ
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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