Davis, Jacqui
Davis, Jacqui is an sole proprietor health care provider with primary practice located at 1215 Sw G St , Grants Pass OR 97526-2544. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Jacqui can be contacted via phone (541) 472-5845.Contact Information
Primary practice address
1215 Sw G St
Grants Pass OR 97526-2544
Phone: (541) 472-5845
Fax: (541) 476-1526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C2052 | Oregon |
Profile Details
| NPI number | 1437300100 |
|---|---|
| LBN Legal business name | Davis, Jacqui |
| Credentials | M.S. PSYCHOLOGY, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2008 |
| Last updated | Sep 30th, 2008 - about 17 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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