TERRELL R DAVIS

FRESNO, CA
NPI1336564475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-02-26
Last Update Date2019-01-04
Business Address
Mr. TERRELL R DAVIS CADC II
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Phone number: 553-264-5096
Mailing Address
Mr. TERRELL R DAVIS CADC II
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096