Individual
KATHLEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
305 W MERCURY ST, SUITE 103, BUTTE, MT 59701-1659
(406) 782-2830
(406) 782-5037
Mailing address
PO BOX 458, WHITEHALL, MT 59759-0458
(406) 287-3062
(406) 782-5037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1035
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035
STATE OF MONTANA LICENSE
MT
Enumeration date
07/26/2007
Last updated
10/29/2014
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