Individual provider · Type 1 NPI

Ira Robert Davis Jr., CO60937157

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1619517786 Active

Practice location

312 W 8th Ave
Spokane, WA 99204-2506

Call (509) 477-4650 Map

Fax (509) 477-4646

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60937157 (WA)

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

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About NPI 1619517786

Ira Robert Davis Jr., CO60937157's National Provider Identifier is 1619517786, issued on Jan 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on Jan 7, 2020.