Individual
CIARRA DAWN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP-T
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
Mailing address
301 T ST SW APT F8, TUMWATER, WA 98501-4566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61126126
WA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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