Individual provider · Type 1 NPI

Mark Lynn Davis, CADC I

Addiction (Substance Use Disorder) Counselor · Dallas, OR

NPI number 1326166141 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1996

Mailing address

1128 S 7th St
Independence, OR 97351-1428

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X98-04-13 (OR)

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

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About NPI 1326166141

Mark Lynn Davis, CADC I's National Provider Identifier is 1326166141, issued on Mar 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, OR. The record was last updated on Oct 23, 2024.