Individual provider · Type 1 NPI

Jodi Lyn Davis, LMSW

Mental Health Counselor · Idaho Falls, ID

NPI number 1679844708 Active

Practice location

1273 E 17th St
Idaho Falls, ID 83404-6126

Call (208) 523-0787 Map

Fax (208) 523-3175

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW-31799 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1679844708

Jodi Lyn Davis, LMSW's National Provider Identifier is 1679844708, issued on Jan 20, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 20, 2012.