Individual
TIARA M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 CORDOVA ST STE 101, ANCHORAGE, AK 99503-2745
(907) 279-9640
Mailing address
2600 CORDOVA ST STE 101, ANCHORAGE, AK 99503-2745
(907) 279-9640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742240098
—
AK
Enumeration date
09/03/2020
Last updated
05/16/2024
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