Individual
ALEXANDER JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2912 N 2ND ST, MINNEAPOLIS, MN 55411-1606
(612) 462-8416
Mailing address
1070 BUSH AVE, SAINT PAUL, MN 55106-3902
(612) 462-8416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304105
MN
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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