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Amanda Rozena Davis
Addiction (Substance Use Disorder) Counselor in Jackson, Ohio
NPI 1033635529

Amanda Rozena Davis is an Addiction (Substance Use Disorder) Counselor based in Gallipolis, OH and is specialized in Addiction (Substance Use Disorder). Amanda Rozena Davis practices in Jackson, OH. The NPI Number for Amanda Rozena Davis is 1033635529 and holds a License No. APP-000074679 (Ohio).

The current practice location address for Amanda Rozena Davis is 500 Burlington Rd Ste 240, Jackson, OH and can be reached out via phone at 740-286-5075 and via fax at 740-395-8411.

Location: 500 Burlington Rd Ste 240, Jackson, OH, 45631-8409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033635529
Provider Name
Amanda Rozena Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Burlington Rd Ste 240, Jackson, OH, 45631-8409
Phone Number
740-286-5075
Fax Number
740-395-8411
Provider Enumeration Date
08/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Burlington Rd Ste 240
City
Jackson
State
Ohio
Zip
45640-9360
Phone Number
740-286-5075
Fax Number
740-395-8411
person
Provider Business Mailing Address Details
Address
500 Burlington Rd Ste 240
City
Jackson
State
Ohio
Zip
45640-9360
Phone Number
740-286-5075
Fax Number
740-395-8411
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
APP-000074679 (Ohio)
Definition
Definition to come...
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