Individual
TODD M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5104 BEAVER DAM LN, KNOXVILLE, TN 37931-3688
(865) 384-4864
Mailing address
5104 BEAVER DAM LN, KNOXVILLE, TN 37931-3688
(865) 384-4864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC1143
TN
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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