Individual provider · Type 1 NPI

Ebony Shealease Davis

Addiction (Substance Use Disorder) Counselor · Ceres, CA

NPI number 1144843749 Active

Practice location

1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156

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 1144843749

Ebony Shealease Davis's National Provider Identifier is 1144843749, issued on May 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ceres, CA. The record was last updated on May 19, 2020.