KEITH JAMES DAVIS

MOSCOW, ID
NPI1134904949
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  9827)
Enumeration Date2023-08-29
Last Update Date2024-05-10
Business Address
KEITH JAMES DAVIS LPC
805 N MAIN ST STE 109
MOSCOW, ID 83843-8513
Phone number: 208-831-7094
Mailing Address
KEITH JAMES DAVIS LPC
707 BENTZ ST # 252
TROY, ID 83871-0015
Phone number: 509-592-0902
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