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WILLIAM LASLEY DAVIS LMHC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1174088777

Individual Registrant:
 WILLIAM LASLEY DAVIS LMHC
Gender: M
Sole Proprietor

Location and contact information for practice:
2365 S 5900 W  MENDON, UT 84325-9743 US
Tel: 360-748-5866  Fax: --

Contact information for business:
2365 S 5900 W  MENDON, UT 84325-9743 US
Tel: 360-748-5866  Fax: --

Registration Information:
NPI: 1174088777
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
UT9793823-6004

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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