Individual provider · Type 1 NPI
Jay Powell Davidson, LCSW, ADCLAD
Addiction (Substance Use Disorder) Counselor · Louisville, KY
NPI number
1043758808
Active
Practice location
1017 W Market St
Louisville, KY 40202-2630
Fax (502) 587-9565
Mailing address
1020 W Market St
Louisville, KY 40202-2630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 00223665 (KY) |
| Clinical Social Worker | 1041C0700X | 0875 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1043758808
Jay Powell Davidson, LCSW, ADCLAD's National Provider Identifier is 1043758808, issued on Feb 1, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Mar 7, 2023.