Individual
TIMOTHY L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1743 SYCAMORE AVE, KINGMAN, AZ 86409-0927
(928) 757-8111
(928) 757-3256
Mailing address
1743 SYCAMORE AVE, KINGMAN, AZ 86409
(928) 757-8111
(928) 757-3256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 10479
AZ
Other
Enumeration date
11/18/2005
Last updated
07/22/2011
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