Individual
AL ZACHERY DAVIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1323 YAKIMA AVE, TACOMA, WA 98405-4457
(253) 502-2696
(253) 502-2757
Mailing address
7967 RENTON AVE S, SEATTLE, WA 98118-4433
(206) 954-2636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911585652
TAX IDENTIFICATION
WA
Enumeration date
03/01/2007
Last updated
10/17/2014
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