Individual provider · Type 1 NPI

Kelsey Theresa Davidson, MA, LCDP

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1700436797 Active

Practice location

530 N Main St
Providence, RI 02904-5762

Call (781) 812-5163 Map

Mailing address

57 Charlton Ave
Pawtucket, RI 02860-6233

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP00814 (RI)

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

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About NPI 1700436797

Kelsey Theresa Davidson, MA, LCDP's National Provider Identifier is 1700436797, issued on Sep 12, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on Sep 12, 2019.