Individual
JESSICA L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 S WALNUT ST, SPOKANE, WA 99204-3326
(509) 624-3251
(509) 624-4505
Mailing address
812 S WALNUT ST, SPOKANE, WA 99204-3326
(509) 624-3251
(509) 624-4505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61588553
WA
Other
Enumeration date
07/26/2023
Last updated
12/17/2024
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