Mark Jeffrey Davis
Mental Health Counselor
1191 Hazel St
Medford
, Oregon 97501
Mark Jeffrey Davis
Mental Health Counselor
1191 Hazel St
Medford
, Oregon 97501
(541) 476-2373
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Mark Jeffrey Davis
- 1215 Sw G St
- Grants Pass, OR
- Zip : 97526-2544
- Phone : (541) 476-2373
Second Address
- Mark Jeffrey Davis
- 1191 Hazel St
- Medford, OR
- Zip : 97501
- Phone : (541) 476-2373
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003154162 |
|---|---|
| Provider Name | Mark Jeffrey Davis |
| First Address | Grants Pass, OR 97526-2544 |
| Second Address | Medford, OR 97501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2013 |
| Last Update Date | 03/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.