Davis, Desiree

Davis, Desiree is an individual health care provider with primary practice located at 4060 Macleay Rd Se Ste A, Salem OR 97317-5801. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Davis, Desiree can be contacted via phone (503) 214-2653.

Contact Information

Primary practice address
4060 Macleay Rd Se Ste A Salem OR 97317-5801
Phone: (503) 214-2653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1962880567
LBN Legal business name Davis, Desiree
Credentials MA, CGACI
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2015
Last updated Jun 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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