Individual provider · Type 1 NPI

Kellie Nichole Davis

Mental Health Counselor · Corvallis, OR

NPI number 1073852976 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Call (541) 758-5900 Map

Mailing address

26919 Old Holley Rd
Sweet Home, OR 97386-9538

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073852976

Kellie Nichole Davis's National Provider Identifier is 1073852976, issued on Feb 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corvallis, OR. The record was last updated on Feb 12, 2013.