Individual provider · Type 1 NPI

Kaleah Rose Davis, LADC

Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI number 1992536064 Active

Practice location

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Call (651) 628-9566 Map

Mailing address

604 N High St
Rushford, MN 55971-9111

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X307113 (MN)

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

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About NPI 1992536064

Kaleah Rose Davis, LADC's National Provider Identifier is 1992536064, issued on Aug 12, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Brighton, MN. The record was last updated on Aug 12, 2024.