Individual provider · Type 1 NPI

Bruce Davis, SAC

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1922323344 Active

Practice location

4000 W Spencer St
Appleton, WI 54914-4015

Fax (920) 735-9050

Mailing address

4000 W. Spencer St.
Appleton, WI 54914

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15538-131 (WI)

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

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About NPI 1922323344

Bruce Davis, SAC's National Provider Identifier is 1922323344, issued on Mar 29, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Mar 29, 2010.