| Doctor Name: | MRS. RENEE S DAVIDSON |
| NPI Number: | 1104069368 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | S-4317 |
| Business Practice Address: | 218a Sunset Rd Screening, Crisis & Intervention Program Willingboro, NJ - 080461110 |
| Business Phone Number: | 6098356180 |
| Business Fax Number: | 6098357962 |
| Mailing Address: | 1289 Route 38, HAINESPORT |
| State: | NJ |
| Postal Code: | 080362730 |
| Phone Number: | 6092675656 |
| Fax Number: | 6092678892 |
| NPI Enumeration Date: | 04/16/2009 |
| NPI Last Update Date: | 04/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | S-4317 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |