Individual
TAMARA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 FAWCETT AVE STE 201, TACOMA, WA 98402-5502
(253) 266-9176
Mailing address
721 FAWCETT AVE STE 201, TACOMA, WA 98402-5502
(253) 266-9176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60816232
WA
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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