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Individual

DR. RODNEY LEE DAVIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC, LSW, LPC, PSYA

Contact information

Practice address
PO BOX 305, WATERBURY, CT 06720-0305
(203) 565-1403
Mailing address
PO BOX 305, WATERBURY, CT 06720-0305

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1216
CT
101YP2500X
Professional Counselor
46.008556
CT
103T00000X
Psychologist
Primary
PSB94029549
CA
104100000X
Social Worker
44SL07335300
NJ

Other

Enumeration date
08/23/2022
Last updated
04/07/2026
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