Individual
PATRICIA MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II, QMHA
Contact information
Practice address
1585 BARNES AVE SE, SALEM, OR 97306-1055
(503) 399-8900
Mailing address
1585 BARNES AVE SE, SALEM, OR 97306-1055
(503) 399-8900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-03-47
OR
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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