Mckay Knight Davis, MACL, LPC, CRADC

NPI #1275967796 in Republic, Missouri

Provider Information

NPI Number: 1275967796
Entity Type: Individual
Name: Mckay Knight Davis, MACL, LPC, CRADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MACL, LPC, CRADC
Enumeration Date: Sep 3, 2013
Last Updated: Jun 7, 2015

Practice Location

Address: 689 W JUAN TABO LN
City: Republic
State: Missouri
ZIP Code: 65738-1487
Phone: (417) 838-7105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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