Individual provider · Type 1 NPI

Amanda Rozena Davis

Addiction (Substance Use Disorder) Counselor · Jackson, OH

NPI number 1033635529 Active

Practice location

500 Burlington Rd Ste 240
Jackson, OH 45640-9360

Call (740) 286-5075 Map

Fax (740) 395-8411

Mailing address

3086 State Route 160
Gallipolis, OH 45631-8409

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAPP-000074679 (OH)

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

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About NPI 1033635529

Amanda Rozena Davis's National Provider Identifier is 1033635529, issued on Aug 17, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, OH. The record was last updated on Aug 17, 2017.