Individual
DONALD ALLENSWORTH-DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MSC, CPRS
Contact information
Practice address
11775 GLENCOE ST NW, CANAL FULTON, OH 44614-9627
(440) 381-4661
Mailing address
11775 GLENCOE ST NW, CANAL FULTON, OH 44614-9627
(440) 381-4661
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2406205-TRNE
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.184824
OH
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
APS.004570
OH
Other
Enumeration date
10/26/2023
Last updated
05/13/2025
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