Individual
TANISHIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
111 N MAIN ST STE 100, JANESVILLE, WI 53545-3072
(608) 580-0031
Mailing address
111 N MAIN ST STE 100, JANESVILLE, WI 53545-3072
(608) 580-0031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20486-130
WI
104100000X
Social Worker
Primary
135097-121
—
Other
Enumeration date
02/01/2024
Last updated
01/23/2025
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