Individual provider · Type 1 NPI

Illyana Davis, SUDP

Addiction (Substance Use Disorder) Counselor · Puyallup, WA

NPI number 1255808713 Active

Practice location

325 E Pioneer
Puyallup, WA 98372-3265

Call (253) 697-8400 Map

Fax (253) 697-8393

Mailing address

1700 Airport Way S
Seattle, WA 98134-1618

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61032956 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

373 other providers at this address

Other addiction (substance use disorder) counselor providers in Puyallup

See all in Puyallup →

About NPI 1255808713

Illyana Davis, SUDP's National Provider Identifier is 1255808713, issued on Nov 1, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Puyallup, WA. The record was last updated on Oct 11, 2024.