Individual provider · Type 1 NPI

Vanessa Davis, SUDPT

Addiction (Substance Use Disorder) Counselor · Kelso, WA

NPI number 1619682424 Active

Practice location

404 W Main St
Kelso, WA 98626-1118

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61238602 (WA)

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

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About NPI 1619682424

Vanessa Davis, SUDPT's National Provider Identifier is 1619682424, issued on Jan 16, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kelso, WA. The record was last updated on Jan 16, 2023.