Individual provider · Type 1 NPI

Jeffery Davis, MLADC

Addiction (Substance Use Disorder) Counselor · Manchester, NH

NPI number 1962579201 Active

Practice location

1555 Elm St
Manchester, NH 03101-1203

Call (603) 668-4111 Map

Fax (603) 628-7757

Mailing address

2 Wall St Ste 300
Manchester, NH 03101-1518

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0939 (NH)
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0578 (NH)

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

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About NPI 1962579201

Jeffery Davis, MLADC's National Provider Identifier is 1962579201, issued on Nov 30, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Manchester, NH. The record was last updated on Mar 22, 2021.