Active NPIIndividual providerSole proprietor

Dr. Dexter J Davis, EDD LCADC

Counselor, Addiction (Substance Use Disorder) in Vauxhall, New Jersey

NPI Number1124486477
Practice location
360 Stiles St, Vauxhall, NJ 07088-1329
Fax
908-688-7959
Last updated
February 2, 2016

Dexter Juan Davis is a Counselor, Addiction (Substance Use Disorder) based in Vauxhall, NJ. Dexter Juan Davis practices in Vauxhall, NJ and has the professional credentials of EDD LCADC. The NPI Number for Dexter Juan Davis is 1124486477 and holds a License No. 37LC00197500 (NJ). The current practice location address for Dexter Juan Davis is 360 Stiles St, Vauxhall, NJ 07088-1329 and can be reached out via phone at 908-688-4462 and via fax at 908-688-7959.

Provider Profile Details

NPI Number
1124486477
Provider Name
Dexter Juan Davis
Credential
EDD LCADC
Provider Entity Type
Individual
Gender
Male
Address
360 Stiles St, Vauxhall, NJ 07088-1329
Phone Number
908-688-4462
Fax Number
908-688-7959
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2016
Last Update Date
February 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 Stiles St
Vauxhall, NJ 07088-1329
Zip
07088-1329
Phone Number
908-688-4462
Fax Number
908-688-7959
Vauxhall, NJ 07088Get directions →

Provider Business Mailing Address Details

Address
360 Stiles Street
Vauxhall, NJ 07088
City
Vauxhall
State
NJ
Zip
07088
Phone Number
908-688-4462
Fax Number
908-688-7959

License Information

License Number (1)
37LC00197500
License State (1)
NJ
Taxonomy (1)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License Number (2)
37LC00197500
License State (2)
NJ
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
37LC00197500
License State (3)
NJ
Taxonomy (3)
Counselor, Professional · 101YP2500X
License Number (4)
37LC00197500
License State (4)
NJ
Taxonomy (4)
Marriage & Family Therapist · 106H00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Dexter J Davis, EDD LCADC?

The NPI number of Dr. Dexter J Davis, EDD LCADC is 1124486477. It was assigned on February 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Dexter J Davis, EDD LCADC?

Dr. Dexter J Davis, EDD LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00197500.

Where does Dr. Dexter J Davis, EDD LCADC practice?

The practice location is 360 Stiles St, Vauxhall, NJ 07088-1329. The office can be reached at 908-688-4462 (phone) or 908-688-7959 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124486477 directly on the NPPES registry website.

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