Individual
CHRISTINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP, LPC
Contact information
Practice address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Mailing address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4990
OR
Other
Enumeration date
03/12/2007
Last updated
05/20/2021
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