Matece Lydia Davis, LMSW Valid NPI
Individual provider · Mental Health Counselor · Chubbuck, ID
- NPI
- 1437082740
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 2381218 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2026-06-05
- Last updated
- 2026-06-05
Practice location
210 W Burnside Ave
Chubbuck, ID 83202-4916
(208) 238-9000