Individual provider · Type 1 NPI

John Davis Iii, LMSW

Mental Health Counselor · Boise, ID

NPI number 1407315013 Active

Practice location

1720 N Westgate Dr Ste A-1
Boise, ID 83704-7164

Fax (208) 334-0812

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW-35378 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1407315013

John Davis Iii, LMSW's National Provider Identifier is 1407315013, issued on Mar 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Mar 14, 2019.