Individual provider · Type 1 NPI

Larena M. Davis, PhD, LPC, LCADC, CCS

Addiction (Substance Use Disorder) Counselor · Cherry Hill, NJ

NPI number 1013210392 Active

Practice location

761 Cuthbert Blvd
Cherry Hill, NJ 08002-3417

Mailing address

133 Polk Ln
Bridgeton, NJ 08302

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 1013210392

Larena M. Davis, PhD, LPC, LCADC, CCS's National Provider Identifier is 1013210392, issued on Dec 8, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cherry Hill, NJ. The record was last updated on Nov 13, 2020.