Individual provider · Type 1 NPI

Nicholas Davis, LPC

Professional Counselor · Chubbuck, ID

NPI number 1043101066 Active

Practice location

4737 S Afton Pl Ste A
Chubbuck, ID 83202-2317

Call (208) 417-0623 Map

Mailing address

5033 Hawthorne Rd Apt 15
Pocatello, ID 83202-2261

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4671469 (ID)

Professional Counselor: Definition to come...

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About NPI 1043101066

Nicholas Davis, LPC's National Provider Identifier is 1043101066, issued on Jul 9, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chubbuck, ID. The record was last updated on Jul 9, 2025.