Britain Kalob Davis, CADC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fortuna, CA

NPI 1639798564 · NPPES record last updated Aug 19, 2024

Key facts

NPI
1639798564
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
PO Box 35
Fortuna, CA 95540-0035
Phone
(707) 721-5592
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Feather House Sober Living Current
since Oct 20, 2024
Accepting new patients
Feather House Sober Living Current
since Oct 6, 2024
Accepting new patients
North Coast Substance Abuse Council Addiction (Substance Use Disorder) Past
since Apr 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

PO Box 35
Fortuna, CA 95540-0035

Mailing address

PO Box 35
Fortuna, CA 95540-0035
Phone (707) 721-5592

Other providers in Fortuna, CA

All providers in Fortuna, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.