Individual
WILLIAM LASLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2365 S 5900 W, MENDON, UT 84325-9743
(360) 748-5866
Mailing address
2365 S 5900 W, MENDON, UT 84325-9743
(360) 748-5866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9793823-6004
UT
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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