Brittany Davis, CASAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Walton, NY

NPI 1699459057 · NPPES record last updated Jun 14, 2023

Key facts

NPI
1699459057
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
35412 (NY)
Practice address
243 Delaware St
Walton, NY 13856-1019
Phone
(607) 832-5888
Fax
(607) 832-6081
NPI assigned
Jun 14, 2023
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

State licenses

LicenseStateTypeSpecialty
35412NYMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 35412 NY Yes

Addresses

Primary practice location

243 Delaware St
Walton, NY 13856-1019

Mailing address

243 Delaware St
Walton, NY 13856-1019
Phone (607) 832-5888

Other providers in Walton, NY

All providers in Walton, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.