Individual provider · Type 1 NPI

Dexter Juan Davis, ED.D LCADC

Addiction (Substance Use Disorder) Counselor · Vauxhall, NJ

NPI number 1124486477 Active

Practice location

360 Stiles St
Vauxhall, NJ 07088-1329

Fax (908) 688-7959

Mailing address

360 Stiles Street
Vauxhall, NJ 07088

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC00197500 (NJ)
Mental Health Counselor 101YM0800X37LC00197500 (NJ)
Professional Counselor 101YP2500X37LC00197500 (NJ)
Marriage & Family Therapist 106H00000X37LC00197500 (NJ)

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

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About NPI 1124486477

Dexter Juan Davis, ED.D LCADC's National Provider Identifier is 1124486477, issued on Feb 2, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vauxhall, NJ. The record was last updated on Feb 2, 2016.