Individual
HEIDI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10633 ORAL ZUMWALT WAY, MISSOULA, MT 59803-9789
(406) 360-3723
Mailing address
10633 ORAL ZUMWALT WAY, MISSOULA, MT 59803-9789
(406) 360-3723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
765
MT
101YP2500X
Professional Counselor
Primary
765
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257227
—
MT
Enumeration date
03/06/2007
Last updated
05/19/2025
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