Individual
MR. NATHAN VICTOR DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSWAIC, SUDPT
Contact information
Practice address
1608 ROAD 44, PASCO, WA 99301-2667
(509) 453-9820
(509) 545-6275
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60889540
WA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW61022677
WA
1041C0700X
Clinical Social Worker
SC60633484
WA
Other
Enumeration date
08/17/2018
Last updated
09/07/2023
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