Individual
ANDREA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1498 SE TECH CENTER PL STE 180, VANCOUVER, WA 98683-5518
(360) 619-2226
Mailing address
4524 SE 35TH AVE, PORTLAND, OR 97202-3322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
12/09/2022
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