Individual
DAVIS KEALANOHEA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
(801) 609-8847
Mailing address
3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
(801) 609-8847
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
10/22/2024
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