Davis, Kathleen

Davis, Kathleen is an individual health care provider with primary practice located at 305 W Mercury St Suite 103, Butte MT 59701-1659. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davis, Kathleen can be contacted via phone (406) 782-2830.

Contact Information

Primary practice address
305 W Mercury St Suite 103 Butte MT 59701-1659
Phone: (406) 782-2830
Fax: (406) 782-5037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1035 Montana

Profile Details

NPI number 1912197963
LBN Legal business name Davis, Kathleen
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Oct 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912197963 NPPES
Montana Other 1035 STATE OF MONTANA LICENSE

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