Organization
PHOENIX COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY MAREE DAVIS LCPC (LICENSED PROFESSIONAL COUNSELOR)
(208) 870-5022
Entity
Organization
Contact information
Practice address
750 W USTICK RD, STE 120, MERIDIAN, ID 83646-6133
(208) 870-5022
Mailing address
750 W USTICK RD, STE 120, MERIDIAN, ID 83646-6133
(208) 870-5022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-5417
ID
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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