Individual provider · Type 1 NPI

Robert Davis, M.ED

Mental Health Counselor · Randolph, VT

NPI number 1154511459 Active

Practice location

11 N Main St
Randolph, VT 05060-1126

Call (802) 728-4466 Map

Fax (802) 728-4197

Mailing address

190 Sugar Plum Ct
Randolph, VT 05060-9379

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0680000714 (VT)

Mental Health Counselor: Definition to come...

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About NPI 1154511459

Robert Davis, M.ED's National Provider Identifier is 1154511459, issued on Aug 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Randolph, VT. The record was last updated on Aug 1, 2007.