Male or Other

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)

Code

101YP2500X

Primary Taxonomy

Yes

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

Provider Address