person
Grover Wayne Davis, BA,CSAC,CAC
Mental Health Counselor in Ludington, Michigan
NPI 1376692269

Grover Wayne Davis is a Mental Health Counselor based in Muskegon, MI and is specialized in Mental Health. Grover Wayne Davis practices in Ludington, MI and has the professional credentials of BA,CSAC,CAC. The NPI Number for Grover Wayne Davis is 1376692269 and holds a License No. (Michigan).

The current practice location address for Grover Wayne Davis is 5816 W Us Highway 10, Ludington, MI and can be reached out via phone at 231-843-4899 and via fax at 231-843-8929.

Location: 5816 W Us Highway 10, Ludington, MI, 49441-1976
person
Provider Profile Details
NPI Number
1376692269
Provider Name
Grover Wayne Davis
Credential
BA,CSAC,CAC
Provider Entity Type
Individual
Gender
Male
Address
5816 W Us Highway 10, Ludington, MI, 49441-1976
Phone Number
231-843-4899
Fax Number
231-843-8929
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1712452 05 MI
institution
Provider Business Practice Location Address Details
Address
5816 W Us Highway 10
City
State
Zip
49431-2494
Phone Number
231-843-4899
Fax Number
231-843-8929
person
Provider Business Mailing Address Details
Address
5816 W Us Highway 10
City
State
Zip
49431-2494
Phone Number
231-843-4899
Fax Number
231-843-8929
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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