Individual
DANIEL DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 BIG BEND RANCH ROAD, WADSWORTH, NV 89442-9442
(775) 352-6849
(775) 575-3180
Mailing address
104 BIG BEND RANCH ROAD, WADSWORTH, NV 89442-9442
(775) 352-6849
(775) 575-3180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004701001
—
NV
Enumeration date
04/11/2008
Last updated
05/02/2012
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