Individual provider · Type 1 NPI
Richard Davis Jr., CAC II, NCAC I
Addiction (Substance Use Disorder) Counselor · Waldorf, MD
NPI number
1104370865
Active
Practice location
3485 Promenade Pl, Apt 101
Waldorf, MD 20603-7280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CACII1201 (DC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1104370865
Richard Davis Jr., CAC II, NCAC I's National Provider Identifier is 1104370865, issued on Aug 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waldorf, MD. The record was last updated on Aug 11, 2016.