Individual
MR. GEORGE RAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 N. SECOND STREET, YAKIMA, WA 98901
(509) 469-9366
(509) 469-9926
Mailing address
PO BOX 376, 315 N. SECOND STREET, YAKIMA, WA 98901
(509) 469-9366
(509) 469-9926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003371
WA
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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