MR. Ansel Fabian Davidson, ADDICTION THERAPIST is an addiction (substance use disorder) counselor in Detroit, MI. MR. Ansel Fabian Davidson, ADDICTION THERAPIST NPI is 1255434593. 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:
4646 JOHN R ST
DETROIT, MI
ZIP 48201
Phone: (313) 576-1000
Fax: (313) 576-1091
The enumeration date for this NPI number is 9/5/2006 and was last updated on 7/8/2007.