Individual
BRIAN G DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16431 SE RENTON ISSAQUAH RD, RENTON, WA 98059-8312
(425) 442-1298
Mailing address
14828 167TH PL SE, RENTON, WA 98059-8828
(425) 442-1298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00006305
WA
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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