Individual provider · Type 1 NPI
Kimberly Davis, PLPC
Mental Health Counselor · Dupo, IL
NPI number
1083379648
Active
Practice location
1401 Muskopf Pl
Dupo, IL 62239-1450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 7843 (LA) |
| Mental Health Counselor Primary | 101YM0800X | 2023035096 (MO) |
Mental Health Counselor: Definition to come...
About NPI 1083379648
Kimberly Davis, PLPC's National Provider Identifier is 1083379648, issued on Nov 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dupo, IL. The record was last updated on Jan 3, 2025.