Individual provider · Type 1 NPI

Ebony Laquise Davis, RADT

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1114630787 Active

Practice location

4441 Auburn Blvd Ste E
Sacramento, CA 95841-4139

Call (916) 473-5764 Map

Mailing address

1820 J St
Sacramento, CA 95811-3010

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA066740725 (CA)

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

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About NPI 1114630787

Ebony Laquise Davis, RADT's National Provider Identifier is 1114630787, issued on Dec 28, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Sep 23, 2025.