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Jeffery Davis, MLADC
Addiction (Substance Use Disorder) Counselor in Manchester, New Hampshire
NPI 1962579201

Jeffery Davis is an Addiction (Substance Use Disorder) Counselor based in Manchester, NH and is specialized in Addiction (Substance Use Disorder). Jeffery Davis practices in Manchester, NH and has the professional credentials of MLADC. The NPI Number for Jeffery Davis is 1962579201 and holds a License No. 0939 (New Hampshire).

The current practice location address for Jeffery Davis is 1555 Elm St, Manchester, NH and can be reached out via phone at 603-668-4111 and via fax at 603-628-7757. You can also correspond with Jeffery Davis through the mailing address at 2 WALL ST STE 300, MANCHESTER, NH - 03101-1518 (mailing address contact number: 603-668-4111).

Location: 1555 Elm St, Manchester, NH, 03101-1518
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Provider Profile Details
NPI Number
1962579201
Provider Name
Jeffery Davis
Credential
MLADC
Provider Entity Type
Individual
Gender
Male
Address
1555 Elm St, Manchester, NH, 03101-1518
Phone Number
603-668-4111
Fax Number
603-628-7757
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7706660Y0NH01 01 NH BLUE CROSS
2163087 01 NH CIGNA
institution
Provider Business Practice Location Address Details
Address
1555 Elm St
City
State
Zip
03101-1203
Phone Number
603-668-4111
Fax Number
603-628-7757
person
Provider Business Mailing Address Details
Address
1555 Elm St
City
State
Zip
03101-1203
Phone Number
603-668-4111
Fax Number
603-628-7757
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.
0939 (New Hampshire)
Definition
Definition to come...
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