Individual
ROBERT J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
2000 N OXFORD AVE STE 2, EAU CLAIRE, WI 54703-5187
(715) 834-1078
Mailing address
559 N DEWEY ST APT 2, EAU CLAIRE, WI 54703-3640
(715) 450-9460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17487-130
WI
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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