Kevin Davis is a Peer Specialist based in Medford, OR. Kevin Davis practices in Medford, OR. The NPI Number for Kevin Davis is 1104532985 and holds a License No. (Oregon).
The current practice location address for Kevin Davis is 1025 E Main St, Medford, OR and can be reached out via phone at 541-779-2081.
Location: 1025 E Main St, Medford, OR, 97504-7140
Provider Profile Details
NPI Number
1104532985
Provider Name
Kevin Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1025 E Main St, Medford, OR, 97504-7140
Phone Number
541-779-2081
Fax Number
Provider Enumeration Date
01/25/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1025 E Main St
City
State
Zip
97504-7689
Phone Number
541-779-2081
Fax Number
Provider Business Mailing Address Details
Address
1025 E Main St
City
State
Zip
97504-7689
Phone Number
541-779-2081
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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