Individual
ANDREW DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 N MAIN ST, MARION, OH 43302-1736
(740) 914-5000
Mailing address
827 N MAIN ST, MARION, OH 43302-1736
(740) 914-5000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
04/19/2024
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