Individual
ANGELINA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
799 HOLLEY AVE, SAINT PAUL PARK, MN 55071-1415
(612) 503-2814
Mailing address
799 HOLLEY AVE, SAINT PAUL PARK, MN 55071-1415
(612) 503-2814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306909
MN
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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