Individual
LEIGH TRISTAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
4841 AUTO CENTER WAY STE 101, BREMERTON, WA 98312-4388
(360) 373-1529
Mailing address
4841 AUTO CENTER WAY STE 101, BREMERTON, WA 98312-4388
(360) 373-1529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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