Individual
ANGELA RENEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1496 N BEALE RD, MARYSVILLE, CA 95901
(530) 749-8640
Mailing address
1496 N BEALE RD, MARYSVILLE, CA 95901-6205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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