Individual
CRYSTAL A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
818 S WASHINGTON ST, MOSCOW, ID 83843-3049
(208) 882-8514
Mailing address
818 S WASHINGTON ST, MOSCOW, ID 83843-3049
(208) 882-8514
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9599
ID
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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