Individual provider · Type 1 NPI

Amy A. Davis

Mental Health Counselor · Roseburg, OR

NPI number 1114542248 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1114542248

Amy A. Davis's National Provider Identifier is 1114542248, issued on Jun 15, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Mar 9, 2023.