Individual provider · Type 1 NPI
Richard David Davidson, MS, LADC, CRC, CVRT
Addiction (Substance Use Disorder) Counselor · Broken Arrow, OK
NPI number
1992983407
Active
Practice location
3718 S Elm Pl, Suite 3718
Broken Arrow, OK 74011-1803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Rehabilitation Psychologist | 103TR0400X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Cognitive & Behavioral Psychologist | 103TB0200X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1992983407
Richard David Davidson, MS, LADC, CRC, CVRT's National Provider Identifier is 1992983407, issued on Feb 6, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 25, 2015.