Individual
ANITA LOUISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADC, CM-D
Contact information
Practice address
119 MCKINLEY ST, EUFAULA, OK 74432-3052
(918) 689-3265
(918) 689-3359
Mailing address
402 ASHWOOD CIR, HENRYETTA, OK 74437-1806
(918) 652-8652
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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