Individual provider · Type 1 NPI
Kenneth Ray Davison, LMHC
Mental Health Counselor · Enterprise, FL
NPI number
1508115601
Active
Practice location
51 Children's Way
Enterprise, FL 32832-8135
Fax (386) 668-0542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8051 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1508115601
Kenneth Ray Davison, LMHC's National Provider Identifier is 1508115601, issued on Sep 5, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enterprise, FL. The record was last updated on Sep 5, 2012.