Individual
MR. LAMETRIUS TARELL DAVIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
Mailing address
1200 CONCORD AVE STE 185, CONCORD, CA 94520-5006
(510) 268-8120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
06/27/2024
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