VANESSA DAVIS

KELSO, WA
NPI1619682424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61238602)
Enumeration Date2023-01-16
Last Update Date2023-01-16
Business Address
VANESSA DAVIS SUDPT
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
Mailing Address
VANESSA DAVIS SUDPT
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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