Individual
BRIANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
14572 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 970-2565
Mailing address
1053 PROSPERITY RD, WAVERLY, OH 45690-8940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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