Individual provider · Type 1 NPI

Teresa R. Davis, CRC

Addiction (Substance Use Disorder) Counselor · Marion, IN

NPI number 1699866830 Active

Practice location

1700 E 38th St
Marion, IN 46953-4568

Mailing address

2506 W 800 S
Warren, IN 46792-9258

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC 043780 (IL)

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

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About NPI 1699866830

Teresa R. Davis, CRC's National Provider Identifier is 1699866830, issued on Sep 27, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marion, IN. The record was last updated on Jul 8, 2007.