Individual provider · Type 1 NPI

Marquise Davis

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1689940157 Active

Practice location

344 E 100 S
Salt Lake City, UT 84111-1700

Call (801) 322-4257 Map

Mailing address

165 W 800 S
Salt Lake City, UT 84101-2906

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1689940157

Marquise Davis's National Provider Identifier is 1689940157, issued on Mar 28, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 28, 2012.