Susan C Davis, MENTAL HEALTH

NPI #1659511087 in Taholah, Washington

Provider Information

NPI Number: 1659511087
Entity Type: Individual
Name: Susan C Davis, MENTAL HEALTH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MENTAL HEALTH
Enumeration Date: Feb 25, 2009
Last Updated: Feb 25, 2009

Practice Location

Address: 1505 KLA-OOK-WA DRIVE
City: Taholah
State: Washington
ZIP Code: 98587-0219
Phone: (360) 276-4405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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