Individual provider · Type 1 NPI

Edward Davis, CASAC

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1134497738 Active

Practice location

285 Vanderbilt Ave
Staten Island, NY 10304-2525

Fax (718) 981-2054

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18352 (NY)

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

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About NPI 1134497738

Edward Davis, CASAC's National Provider Identifier is 1134497738, issued on Dec 9, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Nov 14, 2014.