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NPI Code Detail

MEDICARE: OLIVIA DAVIS

MEDICARE: OLIVIA DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1487585923
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA DAVIS
Provider Business Mailing Address
First Line : PO BOX 2443
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-2443
Country : US
Telephone Number : 907-953-8068
Fax Number :
Provider Business Practice Location Address
First Line : 4600 ABBOTT RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-4314
Country : US
Telephone Number : 907-346-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ OLIVIA DAVIS ” Practice Location

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