Individual
JESSICA LYNNE DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
1100 SOUTHGATE STE 3, PENDLETON, OR 97801-3971
(541) 215-4440
(414) 294-1185
Mailing address
1100 SOUTHGATE STE 3, PENDLETON, OR 97801-3971
(541) 215-4440
(414) 294-1185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/23/2020
Last updated
01/10/2025
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