Individual provider · Type 1 NPI

Jacqui Davis, M.S. PSYCHOLOGY, LPC

Professional Counselor · Grants Pass, OR

NPI number 1437300100 Active

Practice location

1215 SW G St
Grants Pass, OR 97526-2544

Fax (541) 476-1526

Mailing address

1630 Williams Hwy
Grants Pass, OR 97527-5660

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2052 (OR)

Professional Counselor: Definition to come...

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About NPI 1437300100

Jacqui Davis, M.S. PSYCHOLOGY, LPC's National Provider Identifier is 1437300100, issued on Sep 30, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grants Pass, OR. The record was last updated on Sep 30, 2008.