Howard L Davis

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Charleston, WV

NPI 1700600574 · NPPES record last updated Nov 8, 2024

Key facts

NPI
1700600574
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
Region 12 CTC 2157 Greenbrier St
2157 Greenbrier Street
Charleston, WV 25311
Phone
(304) 344-5924
Fax
(304) 344-3503
NPI assigned
Nov 8, 2024
Sex
Male
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

Region 12 CTC 2157 Greenbrier St
2157 Greenbrier Street
Charleston, WV 25311

Mailing address

Region 12 CTC 2157 Greenbrier St
2157 Greenbrier Street
Charleston, WV 25311
Phone (304) 344-5924

Other providers in Charleston, WV

All providers in Charleston, WV · Addiction (Substance Use Disorder) Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.