Individual provider · Type 1 NPI
Maria Lasalle Davidson, LISW-S
Addiction (Substance Use Disorder) Counselor · Cleveland, OH
NPI number
1972009462
Active
Practice location
11811 Shaker Blvd Ste 113A
Cleveland, OH 44120-1927
Mailing address
9718 Heath Ave
Cleveland, OH 44104-5518
Other practice locations
- 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 · (216) 242-2990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | I1500352 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | I1500352 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972009462
Maria Lasalle Davidson, LISW-S's National Provider Identifier is 1972009462, issued on Apr 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Jun 26, 2019.