Individual
SHELLEY EILEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I, QMHA
Contact information
Practice address
960 LIBERTY ST SE STE 120, SALEM, OR 97302-4165
(503) 588-2804
(503) 371-6743
Mailing address
4691 WESTLAWN CT SE, SALEM, OR 97317-5541
(971) 240-3227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-10-21
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
09/18/2023
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