Illyana Davis, SUDP
Illyana Davis, SUDP is an Addiction (Substance Use Disorder) Counselor in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2018.
- Licensed in
- WA
- In the registry since
- 2018
Practice location Address checks out
325 E PioneerPuyallup, WA 98372-3265
Phone: (253) 697-8400
Fax: (253) 697-8393
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CP61032956 (WA) |
|---|
Record details
| NPI number | 1255808713 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDP |
| Sole proprietor | No |
| NPI enumerated | November 1, 2018 |
| Last updated in NPPES | October 11, 2024 |
| Certification date | October 11, 2024 |
| Mailing address | 1700 Airport Way S, Seattle, WA 98134-1618 |
Other providers in Puyallup
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MS. Karen Marie Bier, LMHCCDP
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-
Miss. Roza Cathrina Bockelman, LICSW, CDP
325 E Pioneer, Puyallup, WA 98372-3265 · (253) 697-8400
-
Bryan Lee Box I, CDP
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Mrs. Katie I Fjerstad, CO61274330
14001 108th Avenue Ct E, Puyallup, WA 98374-4909 · (206) 304-8403
-
Mr. Robert James Hamilton
325 E Pioneer, Puyallup, WA 98372-3265 · (253) 697-8400