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Individual
MR. KEN DAVIS
Active
Individual
MR. KEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW, CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60382527
WA
101YM0800X
Mental Health Counselor
CAAL.CU.61647542
WA
171400000X
Health & Wellness Coach
Primary
26-QMHA-R-8814
OR
Other
Enumeration date
09/11/2017
Last updated
09/10/2026
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