Christina Davis, MA, QMHP, LPC
Counselor, Professional in Springfield, OR. Individual provider (NPI-1).
NPI number1083746028
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1083746028
- Entity type
- Individual (NPI-1)
- Name
- Christina Davis
- Credential
- MA, QMHP, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2007
- Certification date
- May 20, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C4990 | OR | Yes |
Practice location
3995 Marcola RdSpringfield, OR 97477-7948
Phone 541-726-1465
Mailing address
3995 Marcola RdSpringfield, OR 97477-7948
Phone 541-726-1465
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