Individual
DANIEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60445522
WA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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