Individual provider · Type 1 NPI

Kevin Alonzo Davis, MS, LADC1, CCFC

Addiction (Substance Use Disorder) Counselor · Brockton, MA

NPI number 1346858347 Active

Practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Call (508) 742-4400 Map

Fax (508) 408-6175

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2415 (MA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1346858347

Kevin Alonzo Davis, MS, LADC1, CCFC's National Provider Identifier is 1346858347, issued on Jul 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brockton, MA. The record was last updated on Jul 16, 2020.