Katrina Faye Davis-parham, is a
Counselor - Addiction (substance Use Disorder) based in Benton Harbor, Michigan. Katrina Faye Davis-parham is licensed to practice in * (Not Available) (license number ) and her current practice location is
497 Waukonda Ave, Benton Harbor, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 282-7122.
NPI number for Katrina Faye Davis-parham is 1487366076 and her current mailing address is 497 Waukonda Ave, Benton Harbor, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487366076.
Healthcare Provider's Profile
| Full Name | Katrina Faye Davis-parham |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 497 Waukonda Ave, Benton Harbor, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487366076
- Provider Enumeration Date: 12/15/2022
- Last Update Date: 12/20/2022
Medical Identifiers
Medical identifiers for Katrina Faye Davis-parham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487366076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katrina Faye Davis-parham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Katrina Faye Davis-parham,
497 Waukonda Ave,
Benton Harbor, MI 49022-3142
Ph: (269) 282-7122 | Katrina Faye Davis-parham,
497 Waukonda Ave,
Benton Harbor, MI 49022-3142
Ph: (269) 282-7122 |
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