Individual provider · Type 1 NPI

Philip Michael Davis

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1770723900 Active

Practice location

1017 Tennessee St
Vallejo, CA 94590-4547

Fax (707) 647-1513

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 1770723900

Philip Michael Davis's National Provider Identifier is 1770723900, issued on Feb 27, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Feb 27, 2009.