Individual provider · Type 1 NPI

Geraldine Etella Davis, B.S.

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1053439737 Active

Practice location

3840 Fairview St.
Detroit, MI 48214

Call (313) 331-8990 Map

Mailing address

2047 Charlton St Apt 101
Ann Arbor, MI 48103-3953

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 1053439737

Geraldine Etella Davis, B.S.'s National Provider Identifier is 1053439737, issued on Mar 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 9, 2007.