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Individual
MR. TIM DANIEL DAVIS
Active
Individual
MR. TIM DANIEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401019625
MI
101YP2500X
Professional Counselor
Primary
6401019625
MI
101YP2500X
Professional Counselor
LPC.0003379
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401019625
LPC
MI
01
—
LPC.0003379
LPC
CO
Enumeration date
08/29/2012
Last updated
05/28/2025
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