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TODD M. DAVIDSON CDPT

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1194092395

Individual Registrant:
 TODD M. DAVIDSON CDPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1001 BAY VIEW AVE.  NEAH BAY, WA 98357 US
Tel: 360-645-2461  Fax: --

Contact information for business:
1528 W. 4TH STREET  PORT ANGELES, WA 98363 US
Tel: 360-452-5014  Fax: --

Registration Information:
NPI: 1194092395
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
WACO 60124036

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CHEMICAL DEPENDENCY PROFESSIONAL TRAINEECO 60124036WA01




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