Individual provider · Type 1 NPI

Mary Louise Davis, CADCI

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1407906308 Active

Practice location

400 NE 7th St
Gresham, OR 97030-5604

Call (503) 661-5455 Map

Mailing address

11153 NE Weidler St Apt C3
Portland, OR 97220-1974

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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

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About NPI 1407906308

Mary Louise Davis, CADCI's National Provider Identifier is 1407906308, issued on Jan 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Aug 4, 2011.