Individual provider · Type 1 NPI

Gary Davis, CMS

Addiction (Substance Use Disorder) Counselor · Piketon, OH

NPI number 1275004392 Active

Practice location

2266 Wakefield Mound Rd
Piketon, OH 45661-9660

Mailing address

1037 State Route 551 Apt 191
Waverly, OH 45690-9640

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1275004392

Gary Davis, CMS's National Provider Identifier is 1275004392, issued on Dec 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Piketon, OH. The record was last updated on Feb 9, 2023.