Individual
DONALD C. DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LICDC-CS
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0000448
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0000448
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280189
—
OH
Enumeration date
09/23/2010
Last updated
04/20/2021
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