Individual provider · Type 1 NPI
McKay Knight Davis, MACL, LPC, CRADC
Professional Counselor · Republic, MO
NPI number
1275967796
Active
Practice location
689 W Juan Tabo Ln
Republic, MO 65738-1487
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8056 (MO) |
| Professional Counselor Primary | 101YP2500X | 2013022743 (MO) |
Professional Counselor: Definition to come...
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About NPI 1275967796
McKay Knight Davis, MACL, LPC, CRADC's National Provider Identifier is 1275967796, issued on Sep 3, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Republic, MO. The record was last updated on Jun 7, 2015.