Individual
NICHOLAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4737 S AFTON PL STE A, CHUBBUCK, ID 83202-2317
(208) 417-0623
Mailing address
5033 HAWTHORNE RD APT 15, POCATELLO, ID 83202-2261
(208) 269-0601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4671469
ID
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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