Individual
DESIREE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CGACI
Contact information
Practice address
4060 MACLEAY RD SE, STE A, SALEM, OR 97317-5801
(503) 214-2653
Mailing address
4060 MACLEAY RD SE STE A, SALEM, OR 97317-5801
(503) 639-3009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
06/27/2017
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