Individual
JAMIE M DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 SW 9TH ST, DES MOINES, IA 50315-2205
(515) 499-2105
Mailing address
1825 SW WHITE BIRCH CIR UNIT 6, ANKENY, IA 50023-7206
(515) 393-1096
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CART-24-401-080
CCAR RECOVERY COACH ACADEMY
IA
Enumeration date
06/04/2025
Last updated
06/04/2025
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