Raniblu M Davis, B.S.
Counselor, Mental Health in Grants Pass, OR. Individual provider (NPI-1).
NPI number1285909366
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1285909366
- Entity type
- Individual (NPI-1)
- Name
- Raniblu M Davis
- Credential
- B.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2012
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1181 Sw Ramsey AveGrants Pass, OR 97527-5835
Phone 541-476-3302
Mailing address
1215 Sw G StGrants Pass, OR 97526-2544
Phone 541-476-2373
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