# MR. KEN DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013436138
- **Gender:** Man
- **Credential:** BSW, CDP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CP60382527 | WA | — |
| 101YM0800X | Mental Health Counselor | CAAL.CU.61647542 | WA | — |
| 171400000X | Health & Wellness Coach | 26-QMHA-R-8814 | OR | Yes |

## Other

- **Enumeration date:** 09/11/2017
- **Last updated:** 09/10/2026