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Crystal Rose Davison
Mental Health Counselor in Driggs, Idaho
NPI 1578216487

Crystal Rose Davison is a Mental Health Counselor based in Jackson, ID and is specialized in Mental Health. Crystal Rose Davison practices in Driggs, ID. The NPI Number for Crystal Rose Davison is 1578216487 and holds a License No. (Idaho).

The current practice location address for Crystal Rose Davison is 89 N Main St Ste 203, Driggs, ID and can be reached out via phone at 307-734-6040.

Location: 89 N Main St Ste 203, Driggs, ID, 83001-2299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578216487
Provider Name
Crystal Rose Davison
Credential
Provider Entity Type
Individual
Gender
Female
Address
89 N Main St Ste 203, Driggs, ID, 83001-2299
Phone Number
307-734-6040
Fax Number
Provider Enumeration Date
01/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
89 N Main St Ste 203
City
Driggs
State
Idaho
Zip
83422-5164
Phone Number
307-734-6040
Fax Number
person
Provider Business Mailing Address Details
Address
89 N Main St Ste 203
City
Driggs
State
Idaho
Zip
83422-5164
Phone Number
307-734-6040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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