Edward Davis MS
Professional Counselor in Letha, ID(View on Map)
Full Name
Edward Davis MS
NPI Number
1083340137
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/29/2022
Specialties
(Taxonomies)Licenses
State
Idaho
License Number
LPC-9028
Contact
Information
Purpose
Mailing
Location
Address
8401 W IDAHO BLVD
8401 W IDAHO BLVD
City
Letha
Letha
State
ID
ID
Postal Code
83636-7706
83636-7706
Country
US
US
Telephone Number
(986) 895-4507
(986) 895-4507
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/29/2022