Individual
KERRY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
(208) 477-1476
Mailing address
3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
(208) 477-1476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
02/06/2026
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