| NPI | 1962579201 |
|---|---|
| Professional Name | JEFFERY DAVIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0578) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0939) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2021-03-22 |