MR. RICHARD DAVIS CAC II NCAC I NPI 1104370865

NPI Information

NPI: 1104370865
Provider Name: MR. RICHARD DAVIS, CAC II, NCAC I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3485 PROMENADE PL
APT 101
WALDORF, MD
ZIP 20603
Phone: (301) 848-6074
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MR. Richard Davis, CAC II, NCAC I is an addiction (substance use disorder) counselor in Waldorf, MD. MR. Richard Davis, CAC II, NCAC I NPI is 1104370865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3485 PROMENADE PL
APT 101
WALDORF, MD
ZIP 20603-280
Phone: (301) 848-6074

The enumeration date for this NPI number is 8/11/2016 and was last updated on 8/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CACII1201	DISTRICT OF COLUMBIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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