DANIEL DAVIS

VANCOUVER, WA
NPI1427594365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60445522)
Enumeration Date2017-01-17
Last Update Date2017-01-17
Business Address
-- DANIEL DAVIS
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
Mailing Address
-- DANIEL DAVIS
PO BOX 1678
VANCOUVER, WA 98668-1678
Phone number:
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