Lisa A Davisson
Individual provider Active NPI Mental Health Counselor · Selah, WA
NPI 1588096192 · NPPES record last updated Mar 28, 2016
Key facts
- NPI
- 1588096192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CO60214519 (WA)
- Practice address
- 1390 Jesica Dr
Selah, WA 98942-1728 - Phone
- (509) 697-9891
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO60214519 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CO60214519 | WA | Yes |
Addresses
Primary practice location
1390 Jesica Dr
Selah, WA 98942-1728
Mailing address
1390 Jesica Dr
Selah, WA 98942-1728
Phone (509) 697-9891
Other providers in Selah, WA
- Neal F. Cotner
- William T Cox
- Aaron Crumrine
- Lisa Dawn Currier
- Patricia Ann Davis
- Courtney Christine Deats
- Lindsay Disney
- DSHS/Dda/Yakima Valley School
- Arleen Dale Dull I
- Sheryl Ann Fairchild
All providers in Selah, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.