Individual
MS. KATHLEEN DAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 466-7443
Mailing address
4240 N MINT PL, BOISE, ID 83703-3468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6503
ID
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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