Individual provider · Type 1 NPI

Diane Kaye Davis, MSED, NCC, LCPC

Addiction (Substance Use Disorder) Counselor · Murphysboro, IL

NPI number 1073673109 Active

Practice location

608 Mulberry St
Murphysboro, IL 62966-2666

Fax (618) 687-5077

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

Another provider at this address

About NPI 1073673109

Diane Kaye Davis, MSED, NCC, LCPC's National Provider Identifier is 1073673109, issued on Dec 11, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Murphysboro, IL. The record was last updated on Sep 11, 2025.