Individual
REBEKAH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4 OGDEN AVE, NAMPA, ID 83651-2371
(208) 505-4314
Mailing address
4250 N TEMPEST WAY, MERIDIAN, ID 83646-3770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6928
ID
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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