Individual
MRS. TRACY L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
305 PACIFIC AVE S STE 102, KELSO, WA 98626-1638
(360) 423-0203
(360) 423-5086
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60797965
WA
106H00000X
Marriage & Family Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097679
—
WA
Enumeration date
02/21/2018
Last updated
09/17/2024
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