| Mike Davis, CIT | |
|
564 Braxton Rd, Dodson, LA 71422-3880 | |
| (318) 413-4436 | |
| Not Available |
| Full Name | Mike Davis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 564 Braxton Rd, Dodson, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831953421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CIT-5753 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Davis, CIT 564 Braxton Rd, Dodson, LA 71422-3880 Ph: (318) 413-4436 | Mike Davis, CIT 564 Braxton Rd, Dodson, LA 71422-3880 Ph: (318) 413-4436 |
Luis Octavio Mendoza Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 564 Braxton Rd, Dodson, LA 71422 Phone: 318-648-2426 | |
Josh Patrick Roton, CIT-5826 Counselor Medicare: Not Enrolled in Medicare Practice Location: 564 Braxton Rd, Dodson, LA 71422 Phone: 318-413-7428 |