Individual
ANDREW N DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MAC, CACD III
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1898
(360) 475-4713
Mailing address
310 N 18TH ST, PHILOMATH, OR 97370-9225
(541) 740-1739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
05/01/2008
Last updated
03/11/2023
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