Nicholas Davis, LPC Valid NPI
Individual provider · Professional Counselor · Chubbuck, ID
- NPI
- 1043101066
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 4671469 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-07-09
- Last updated
- 2025-07-09
Practice location
4737 S Afton Pl Ste A
Chubbuck, ID 83202-2317
(208) 417-0623