MR. Kenneth Wayne Davis, SAC
NPI #1124384359 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1124384359
- Entity Type
- Individual
- Name
- MR. Kenneth Wayne Davis, SAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SAC
- Enumeration Date
- Apr 2, 2012
- Last Updated
- Nov 6, 2013
Practice Location
- Address
- 1002 SE C ST
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712-6327
- Phone
- (479) 271-2120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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