Keith James Davis, LPC

NPI #1134904949 in Moscow, Idaho

Provider Information

NPI Number
1134904949
Entity Type
Individual
Name
Keith James Davis, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Aug 29, 2023
Last Updated
May 10, 2024

Practice Location

Address
805 N MAIN ST STE 109
City
Moscow
State
Idaho
ZIP Code
83843-8513
Phone
(208) 831-7094

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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