Individual
KIMBERLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1011 N COLLEGE AVE, SUITE 302, FAYETTEVILLE, AR 72701
(479) 274-8002
(479) 274-8008
Mailing address
PO BOX 10025, FAYETTEVILLE, AR 72703-0035
(479) 274-8002
(479) 274-8008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P0508052
AR
101YP2500X
Professional Counselor
Primary
P0508052
AR
Other
Enumeration date
10/07/2008
Last updated
03/16/2019
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