Individual
JENNIFER ANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
320 11TH AVE S STE 204, NAMPA, ID 83651-5074
(208) 590-7277
(208) 908-6164
Mailing address
1438 E STORMY DR, MERIDIAN, ID 83646-3497
(208) 590-7277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8870
ID
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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