Richard Andrew Davis
Counselor, Addiction (Substance Use Disorder) in Waukegan, IL. Individual provider (NPI-1).
NPI number1003545112
StatusActive
Last updated in NPPESJun 6, 2022
Details
- NPI
- 1003545112
- Entity type
- Individual (NPI-1)
- Name
- Richard Andrew Davis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2022
- Certification date
- Jun 6, 2022
- Last updated
- Jun 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
3002 Grand AveWaukegan, IL 60085-2321
Phone 847-377-3257
Mailing address
3002 Grand AveWaukegan, IL 60085-2321
Phone 630-707-3970
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All 82 Addiction (Substance Use Disorder) Counselor providers in Waukegan · All 1,691 providers in Waukegan
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