Individual
PHYLLIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
236 S 152ND ST APT 305, BURIEN, WA 98148-1040
(253) 839-6261
Mailing address
236 S 152ND ST APT 305, BURIEN, WA 98148-1040
(253) 839-6261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003526
WA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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