IndividualActive
Derek Davis
NPI 1619299369 · Addiction (Substance Use Disorder) Counselor · Wilmington, DE
Provider details
- NPI number
- 1619299369
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 123126 (DE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
604 W 10th St
Wilmington, DE 19801-1424
Phone: (302) 737-4100
Fax: (302) 655-5030
Approximate (ZIP-level) locationGet directions
Mailing address
604 W 10th St
Wilmington, DE 19801-1424
Registry dates
- Enumerated
- 2010-02-23
- Last updated
- 2010-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.