Individual
ANDREA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
600 OAKESDALE AVE SW, 104, RENTON, WA 98057-5226
(425) 228-5336
(425) 228-4540
Mailing address
600 OAKESDALE AVE SW, 104, RENTON, WA 98057-5226
(425) 228-5336
(425) 228-4540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH 60123210
WA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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