Individual provider · Type 1 NPI
Kathleen J. Davidson, LCAC
Addiction (Substance Use Disorder) Counselor · Plymouth, IN
NPI number
1679980619
Active
Practice location
322 W Jefferson St
Plymouth, IN 46563-1734
Fax (574) 936-3910
Mailing address
8495 E 150 S
Knox, IN 46534-8396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 87001530A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
Other addiction (substance use disorder) counselor providers in Plymouth
About NPI 1679980619
Kathleen J. Davidson, LCAC's National Provider Identifier is 1679980619, issued on Jul 22, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, IN. The record was last updated on Jul 22, 2014.