CHI MI YI DAVIDSON

OLYMPIA, WA
NPI1073052254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  co60729036)
Enumeration Date2017-02-21
Last Update Date2017-02-21
Business Address
-- CHI MI YI DAVIDSON CDP
3773 MARTIN WAY E BLDG A SUITE 105
OLYMPIA, WA 98506-5048
Phone number: 360-688-7312
Mailing Address
-- CHI MI YI DAVIDSON CDP
3773 MARTIN WAY E BLDG A SUITE 105
OLYMPIA, WA 98506
Phone number: 360-688-7312