Individual
CAROL SUSAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MHP, CMHS
Contact information
Practice address
521 UNION AVE SE, SUITE 201, OLYMPIA, WA 98501-1487
(360) 701-3098
Mailing address
3443 14TH AVE NW, OLYMPIA, WA 98502-4023
(360) 705-2968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00051644
WA
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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