Individual
KEVIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
7680 LAKEFIELD ST, LOUISVILLE, OH 44641-9721
(330) 454-7917
Mailing address
7680 LAKEFIELD ST, LOUISVILLE, OH 44641-9721
(330) 978-4633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2102597
OH
Other
Enumeration date
07/17/2015
Last updated
09/13/2023
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