Individual
KENDALL DONNELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,LAC
Contact information
Practice address
4565 KENDALL PKWY, LOVELAND, CO 80538-9268
(970) 410-8228
Mailing address
3800 AUTOMATION WAY STE 102, FORT COLLINS, CO 80525-3451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.1813
CO
101YP2500X
Professional Counselor
Primary
LPC.0019132
CO
Other
Enumeration date
04/14/2017
Last updated
08/27/2023
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