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Kristofer Isaac Davis
Addiction (Substance Use Disorder) Counselor in Shelby, Ohio
NPI 1427609163

Kristofer Isaac Davis is an Addiction (Substance Use Disorder) Counselor based in Shelby, OH and is specialized in Addiction (Substance Use Disorder). Kristofer Isaac Davis practices in Shelby, OH. The NPI Number for Kristofer Isaac Davis is 1427609163 and holds a License No. CDCA.171574 (Ohio).

The current practice location address for Kristofer Isaac Davis is 2775 State Route 39, Shelby, OH and can be reached out via phone at 419-747-3322.

Location: 2775 State Route 39, Shelby, OH, 44875-9466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427609163
Provider Name
Kristofer Isaac Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
2775 State Route 39, Shelby, OH, 44875-9466
Phone Number
419-747-3322
Fax Number
Provider Enumeration Date
09/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2775 State Route 39
City
Shelby
State
Ohio
Zip
44875-9466
Phone Number
419-747-3322
Fax Number
person
Provider Business Mailing Address Details
Address
2775 State Route 39
City
Shelby
State
Ohio
Zip
44875-9466
Phone Number
419-747-3322
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.171574 (Ohio)
Definition
Definition to come...
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