Individual provider · Type 1 NPI

Jessica Marie Davis

Mental Health Counselor · Portland, OR

NPI number 1669004867 Active

Practice location

9320 SW Barbur Blvd Ste 200
Portland, OR 97219-5499

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1669004867

Jessica Marie Davis's National Provider Identifier is 1669004867, issued on Feb 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 20, 2020.