Individual
MR. KEN D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
1305 MANSFIELD ST, SUITE 5, RICHLAND, WA 99352-3588
(509) 942-1624
Mailing address
6916 W OCTAVE ST, PASCO, WA 99301-2038
(509) 531-3467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00059734
WA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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