Individual provider · Type 1 NPI

Derek R. Davis

Addiction (Substance Use Disorder) Counselor · Wilmington, DE

NPI number 1619299369 Active

Practice location

604 W 10th St
Wilmington, DE 19801-1424

Fax (302) 655-5030

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X123126 (DE)
Professional Counselor 101YP2500XPC002803 (PA)

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

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About NPI 1619299369

Derek R. Davis's National Provider Identifier is 1619299369, issued on Feb 23, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, DE. The record was last updated on Feb 23, 2010.