Individual provider · Type 1 NPI
Angelina Davis
Addiction (Substance Use Disorder) Counselor · St. Paul Park, MN
NPI number
1700743978
Active
Practice location
799 Holley Ave
St. Paul Park, MN 55071-1415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 306909 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in St. Paul Park
About NPI 1700743978
Angelina Davis's National Provider Identifier is 1700743978, issued on Jan 8, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul Park, MN. The record was last updated on Jan 8, 2026.