| NPI | 1639866759 |
|---|---|
| Former Name | JESSICA L DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184160) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-05-05 |