Christy Davis
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cairo, IL
NPI 1659634947 · NPPES record last updated Jun 21, 2012
Key facts
- NPI
- 1659634947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1400 Commercial Ave
Cairo, IL 62914-1978 - Phone
- (618) 734-2665
- Fax
- (618) 734-1999
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1400 Commercial Ave
Cairo, IL 62914-1978
Mailing address
1400 Commercial Ave
Cairo, IL 62914-1978
Phone (618) 734-2665
Other providers in Cairo, IL
- Community Health & Emergency Services, Inc.
- Community Health & Emergency Services, Inc., Dasa
- Community Health Services Lab
- Vyta Copeland
- Robert Daniel Dansby III
- Daystar Nursing and Rehabilitation Center LLC
- Samantha Dean
- Delta Center Inc
- Delta Center Inc
- Delta Center Inc.
All providers in Cairo, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.