Individual
CHI MI YI DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
3773 MARTIN WAY E, BLDG A SUITE 105, OLYMPIA, WA 98506-5048
(360) 688-7312
(360) 688-7318
Mailing address
3773 MARTIN WAY E, BLDG A SUITE 105, OLYMPIA, WA 98506
(360) 688-7312
(360) 688-7318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60729036
WA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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