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MR. ANSEL FABIAN DAVIDSON ADDICTION THERAPIST
NPI 1255434593
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since September 05, 2006
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000(313) 576-1091 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ansel Fabian Davidson Addiction Therapist NPPES

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

MR. ANSEL FABIAN DAVIDSON ADDICTION THERAPIST (NPI 1255434593) is an individual addiction (substance use disorder) provider in Detroit, Michigan and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1255434593
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ANSEL FABIAN DAVIDSONCredential: ADDICTION THERAPIST
Location Address4646 JOHN R STDetroit, MI 48201
Mailing Address5791 BalfourDetroit, MI 48224 · (313) 576-1000 · Fax (313) 576-1091
Phone(313) 576-1000
Fax(313) 576-1091
Sole ProprietorNo
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255434593 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
4646 JOHN R ST, Detroit, MI 48201
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Other Names 1

Other Name (5)Mr. Ansel Fabian Davidson Addiction Therapist

Other Providers at the Same Location NPPES 20

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

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

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 Ansel Davidson's NPI number?

The NPI number for Ansel Davidson is 1255434593. It was assigned to this individual provider in the NPPES registry on September 5, 2006. The provider is also known as Mr. Ansel Fabian Davidson Addiction Therapist.

Where is Ansel Davidson located?

Ansel Davidson practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Ansel Davidson'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 Ansel Davidson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.