Doctor Name: | MS. REBECCA DAVIS |
NPI Number: | 1033362660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CAC |
License Number: | 1333 |
Business Practice Address: | 5599 Highway 311 Houma, LA - 703602866 |
Business Phone Number: | 9858573615 |
Business Fax Number: | 9858573706 |
Mailing Address: | 5599 Highway 311, HOUMA |
State: | LA |
Postal Code: | 703602866 |
Phone Number: | 9858573615 |
Fax Number: | 9858573706 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1333 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |