Individual
KAITLYN NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LCMHC
Contact information
Practice address
501 ISLINGTON ST STE 2D, PORTSMOUTH, NH 03801-4288
(603) 288-1254
Mailing address
501 ISLINGTON ST STE 2D, PORTSMOUTH, NH 03801-4288
(603) 288-1254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2710
NH
101YP2500X
Professional Counselor
LPC06865
OK
Other
Enumeration date
08/11/2016
Last updated
08/07/2024
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