Individual provider · Type 1 NPI

Richard Andrew Davis

Addiction (Substance Use Disorder) Counselor · Waukegan, IL

NPI number 1003545112 Active

Practice location

3002 Grand Ave
Waukegan, IL 60085-2321

Call (847) 377-3257 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003545112

Richard Andrew Davis's National Provider Identifier is 1003545112, issued on Jun 6, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukegan, IL. The record was last updated on Jun 6, 2022.