Individual provider · Type 1 NPI
John David Davis, LAT
Addiction (Substance Use Disorder) Counselor · Lander, WY
NPI number
1154059681
Active
Practice location
748 Main St
Lander, WY 82520-3036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LAT-241 (WY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154059681
John David Davis, LAT's National Provider Identifier is 1154059681, issued on Aug 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lander, WY. The record was last updated on Dec 5, 2025.