person
Jeremy Keith Davis, LPCC,LPC,LADC,SAC
Addiction (Substance Use Disorder) Counselor in Bloomington, Minnesota
NPI 1518208206

Jeremy Keith Davis is an Addiction (Substance Use Disorder) Counselor based in Hudson, MN and is specialized in Addiction (Substance Use Disorder). Jeremy Keith Davis practices in Bloomington, MN and has the professional credentials of LPCC,LPC,LADC,SAC. The NPI Number for Jeremy Keith Davis is 1518208206 and holds a License No. 5690-125 (Minnesota).

The current practice location address for Jeremy Keith Davis is 8200 Humboldt Ave S Ste 100, Bloomington, MN and can be reached out via phone at 952-454-0421.

Location: 8200 Humboldt Ave S Ste 100, Bloomington, MN, 54016-1793
person
Provider Profile Details
NPI Number
1518208206
Provider Name
Jeremy Keith Davis
Credential
LPCC,LPC,LADC,SAC
Provider Entity Type
Individual
Gender
Male
Address
8200 Humboldt Ave S Ste 100, Bloomington, MN, 54016-1793
Phone Number
952-454-0421
Fax Number
Provider Enumeration Date
03/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8200 Humboldt Ave S Ste 100
City
State
Zip
55431-1433
Phone Number
952-454-0421
Fax Number
person
Provider Business Mailing Address Details
Address
8200 Humboldt Ave S Ste 100
City
State
Zip
55431-1433
Phone Number
952-454-0421
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2076 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5690-125 (Wisconsin)
Definition
Definition to come...
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