Davis, Sally

Davis, Sally is an individual health care provider with primary practice located at 921 14Th Ave , Longview WA 98632-2316. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Davis, Sally can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
921 14Th Ave Longview WA 98632-2316
Phone: (360) 423-0203
Fax: (360) 577-0269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 60194279 Washington

Profile Details

NPI number 1891236600
LBN Legal business name Davis, Sally
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2017
Last updated Feb 5th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891236600 NPPES
Washington MEDICAID 2101923

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