Individual provider · Type 1 NPI

Bodie Lee Davis

Mental Health Counselor · Ontario, OR

NPI number 1811601081 Active

Practice location

840 SW 4th Ave Ste 105
Ontario, OR 97914-2638

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811601081

Bodie Lee Davis's National Provider Identifier is 1811601081, issued on Jan 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ontario, OR. The record was last updated on Jul 22, 2026.