JOHN DAVID DAVIS LAT
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1154059681- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LAT
- Status
- Active
Contact & Location
- Address
- 748 MAIN ST, LANDER, WY, 825203036
- Phone
- (307) 332-2231
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: WY #LAT-241
Student in an Organized Health Care Education/Training Program