Individual provider · Type 1 NPI
Sonya Davidson, CADC UNDERSUPERVISIO
Addiction (Substance Use Disorder) Counselor · Tahlequah, OK
NPI number
1609123892
Active
Practice location
17091 S Muskogee Ave
Tahlequah, OK 74465-0000
Mailing address
PO Box 397
Park Hill, OK 74451-0397
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1609123892
Sonya Davidson, CADC UNDERSUPERVISIO's National Provider Identifier is 1609123892, issued on Aug 7, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tahlequah, OK. The record was last updated on Aug 7, 2012.