Davis, Susan Kathryn

Davis, Susan Kathryn is an sole proprietor health care provider with primary practice located at 2519 E Ellendale Ave , Dallas OR 97338-9575. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Davis, Susan Kathryn can be contacted via phone (503) 949-1294.

Contact Information

Primary practice address
2519 E Ellendale Ave Dallas OR 97338-9575
Phone: (503) 949-1294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R4988 Oregon

Profile Details

NPI number 1497126882
LBN Legal business name Davis, Susan Kathryn
Credentials MA COUNSELING
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2015
Last updated May 2nd, 2018 - 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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