Individual provider · Type 1 NPI

Everett Davis, LCDCII

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1194340935 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Mailing address

735 Waneta Ave
Dayton, OH 45404-1466

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XAPS001511 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCII161844 (OH)

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About NPI 1194340935

Everett Davis, LCDCII's National Provider Identifier is 1194340935, issued on Jun 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jun 5, 2023.