NPIRadar

Justin Davis, RADT Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Campo, CA

NPI
1427816156
Type
Individual (Type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
R1518160823 (CA)
Sex
Male
Sole proprietor
No
Enumerated
2024-03-07
Last updated
2024-03-07
Practice location
1777 Buckman Springs Rd
Campo, CA 91906-2022
(619) 478-5696

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