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Search › Idaho › 101YP2500X

Jenika Davis, LPC

NPI 1720635725 · on the registry since 2019 · sole proprietor

Practice

Address
1919 W State St
Boise, ID 83702
Phone
(208) 813-6246
Organisation at this address
Idaho Tms
Haven Behavioral Outpatient Services Of Boise, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho