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Jackie Davis
Counselor in Longview, Washington
NPI 1316488109

Jackie Davis is a Counselor based in Longview, WA. Jackie Davis practices in Longview, WA. The NPI Number for Jackie Davis is 1316488109 and holds a License No. (Washington).

The current practice location address for Jackie Davis is 720 14Th Ave, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-577-0269. You can also correspond with Jackie Davis through the mailing address at 720 14TH AVE, LONGVIEW, WA - 98632-2315 (mailing address contact number: 360-423-0203).

Location: 720 14Th Ave, Longview, WA, 98632-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316488109
Provider Name
Jackie Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Ave, Longview, WA, 98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0269
Provider Enumeration Date
03/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2097707 05 WA
institution
Provider Business Practice Location Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0269
person
Provider Business Mailing Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0269
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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