Davis, Dexter Juan

Davis, Dexter Juan is an sole proprietor health care provider with primary practice located at 360 Stiles St , Vauxhall NJ 07088-1329. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Davis, Dexter Juan can be contacted via phone (908) 688-4462.

Contact Information

Primary practice address
360 Stiles St Vauxhall NJ 07088-1329
Phone: (908) 688-4462
Fax: (908) 688-7959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00197500 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37LC00197500 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37LC00197500 New Jersey
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37LC00197500 New Jersey

Profile Details

NPI number 1124486477
LBN Legal business name Davis, Dexter Juan
Credentials ED.D LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2016
Last updated Feb 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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