Individual
AMY MAREE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1276 W RIVER STREET, SUITE 100, BOISE, ID 83702-7066
(208) 338-4699
(208) 322-4722
Mailing address
1276 W RIVER STREET, SUITE 100, BOISE, ID 83702-7066
(208) 338-4699
(208) 322-4722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4765
ID
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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