Individual
KATHRYN D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5060 N 19TH AVE STE 218, PHOENIX, AZ 85015-3212
(602) 750-6043
(623) 433-0786
Mailing address
1413 S 237TH LN, BUCKEYE, AZ 85326-3616
(602) 301-4647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17553
AZ
Other
Enumeration date
02/01/2018
Last updated
09/20/2024
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