KEN D DAVIS

RICHLAND, WA
NPI1013176890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  rc00059734)
Enumeration Date2008-06-05
Last Update Date2008-06-05
Business Address
Mr. KEN D DAVIS CDPT
1305 MANSFIELD ST SUITE 5
RICHLAND, WA 99352-3588
Phone number: 509-942-1624
Mailing Address
Mr. KEN D DAVIS CDPT
6916 W OCTAVE ST
PASCO, WA 99301-2038
Phone number: 509-531-3467
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