Individual provider · Type 1 NPI

Kristine Costello Davis, PLMSW

Counselor · Fayetteville, AR

NPI number 1265794218 Active

Practice location

2153 E Joyce Blvd
Fayetteville, AR 72703-4714

Call (479) 636-0083 Map

Fax (479) 636-0144

Mailing address

PO Box 383
Noel, MO 64854-0383

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1265794218

Kristine Costello Davis, PLMSW's National Provider Identifier is 1265794218, issued on Jun 14, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fayetteville, AR. The record was last updated on Jun 14, 2012.