person
Mr. Donald Davis I, LAC,CADACII
Addiction (Substance Use Disorder) Counselor in Plymouth, Indiana
NPI 1598193369

Donald Davis I is an Addiction (Substance Use Disorder) Counselor based in Warsaw, IN and is specialized in Addiction (Substance Use Disorder). Donald Davis I practices in Plymouth, IN and has the professional credentials of LAC,CADACII. The NPI Number for Donald Davis I is 1598193369 and holds a License No. 86000001A (Indiana).

The current practice location address for Donald Davis I is 990 Illinois St, Plymouth, IN and can be reached out via phone at 574-936-9646 and via fax at 574-935-4773.

Location: 990 Illinois St, Plymouth, IN, 46580-3163
person
Provider Profile Details
NPI Number
1598193369
Provider Name
Donald Davis I
Credential
LAC,CADACII
Provider Entity Type
Individual
Gender
Male
Address
990 Illinois St, Plymouth, IN, 46580-3163
Phone Number
574-936-9646
Fax Number
574-935-4773
Provider Enumeration Date
10/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
990 Illinois St
City
State
Zip
46563-3622
Phone Number
574-936-9646
Fax Number
574-935-4773
person
Provider Business Mailing Address Details
Address
990 Illinois St
City
State
Zip
46563-3622
Phone Number
574-936-9646
Fax Number
574-935-4773
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
86000001A (Indiana)
Definition
Definition to come...
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