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MR. RICHARD DAVIS JR. CAC II, NCAC I
NPI 1104370865
Counselor - Addiction (Substance Use Disorder) in Waldorf, MD

Active since August 11, 2016
3485 PROMENADE PL, APT 101, WALDORF, MD 20603(301) 848-6074 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Richard Davis Jr. Cac Ii, Ncac I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICHARD DAVIS JR. CAC II, NCAC I (NPI 1104370865) is an individual addiction (substance use disorder) provider in Waldorf, Maryland, licensed in District Of Columbia (CACII1201) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1104370865
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RICHARD DAVIS JR.Credential: CAC II, NCAC I
Location Address3485 PROMENADE PL, APT 101Waldorf, MD 20603-7280
Mailing Address3485 Promenade Pl, Apt 101Waldorf, MD 20603-7280 · (301) 848-6074
Phone(301) 848-6074
Sole ProprietorYes
Enumeration DateAugust 11, 2016
✔ NPI 1104370865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in DC · CACII1201
3485 PROMENADE PL, Waldorf, MD 20603
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUST ENOUGH LLC
Counselor (Addiction (Substance Use Disorder))
3485 PROMENADE PL, APT 101
WALDORF, MD 20603
Charles County (301) 848-6074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Davis's NPI number?

The NPI number for Richard Davis is 1104370865. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Where is Richard Davis located?

Richard Davis practices at 3485 Promenade Pl Apt 101, Waldorf, MD 20603. The listed phone number is (301) 848-6074.

What is Richard Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Richard Davis was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.