Individual provider · Type 1 NPI
Jacqueline Davis
Addiction (Substance Use Disorder) Counselor · Reidsville, NC
NPI number
1285126557
Active
Practice location
1309 Northup St Ste F
Reidsville, NC 27320-5611
Mailing address
1309 Northup St
Reidsville, NC 27320-5611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14350 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1285126557
Jacqueline Davis's National Provider Identifier is 1285126557, issued on Jun 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reidsville, NC. The record was last updated on Jun 3, 2018.