| Mr Todd Davis, LCDC II | |
|
7175 State Route 104, Mc Dermott, OH 45652-8899 | |
| (740) 858-6683 | |
| Not Available |
| Full Name | Mr Todd Davis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7175 State Route 104, Mc Dermott, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346604626 | NPI | - | NPPES |
| 0289646 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 991670-2 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Todd Davis, LCDC II Po Box 402, Wheelersburg, OH 45694-0402 Ph: (740) 858-6683 | Mr Todd Davis, LCDC II 7175 State Route 104, Mc Dermott, OH 45652-8899 Ph: (740) 858-6683 |
Jarodd Lawson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7175 State Route 104, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Timothy Mccreary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Kyam Matthews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Michele Lawson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7175 State Route 104, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Dustin Anthony, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7175 State Route 104, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Keith Allen Hamilton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652 Phone: 740-858-6683 |