Individual
KEVIN DONALD DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1320 MENDOTA ST STE 120, MADISON, WI 53714-1060
(608) 280-2700
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7951-125
WI
Other
Enumeration date
09/12/2018
Last updated
11/15/2021
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