Individual provider · Type 1 NPI

Ansel Fabian Davidson, ADDICTION THERAPIST

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1255434593 Active

Practice location

4646 John R St
Detroit, MI 48201

Call (313) 576-1000 Map

Fax (313) 576-1091

Mailing address

5791 Balfour
Detroit, MI 48224

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1255434593

Ansel Fabian Davidson, ADDICTION THERAPIST's National Provider Identifier is 1255434593, issued on Sep 5, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.