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Keith James Davis, LPC
Professional Counselor in Moscow, Idaho
NPI 1134904949

Keith James Davis is a Professional Counselor based in Troy, ID and is specialized in Professional. Keith James Davis practices in Moscow, ID and has the professional credentials of LPC. The NPI Number for Keith James Davis is 1134904949 and holds a License No. 9827 (Idaho).

The current practice location address for Keith James Davis is 818 S Washington St, Moscow, ID and can be reached out via phone at 208-882-8514.

Location: 818 S Washington St, Moscow, ID, 83871-0015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134904949
Provider Name
Keith James Davis
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
818 S Washington St, Moscow, ID, 83871-0015
Phone Number
208-882-8514
Fax Number
Provider Enumeration Date
08/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
818 S Washington St
City
Moscow
State
Idaho
Zip
83843-3049
Phone Number
208-882-8514
Fax Number
person
Provider Business Mailing Address Details
Address
818 S Washington St
City
Moscow
State
Idaho
Zip
83843-3049
Phone Number
208-882-8514
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
9827 (Idaho)
Definition
Definition to come...
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