Individual
AMYTHEST DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
98 NORTH AVE, WEBSTER, NY 14580-3193
(585) 210-0150
Mailing address
98 NORTH AVE, WEBSTER, NY 14580-3193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002262
NY
101YM0800X
Mental Health Counselor
Primary
P05697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002262
NY LICENSE
NY
Enumeration date
04/17/2017
Last updated
06/27/2022
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