Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIMBERLY DAVIS, PLPC
Active Sole ProprietorMental Health Counselor · DUPO, IL
Registration Details
- NPI Number
- 1083379648
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2021 (4.4770406487216 yrs)
- Last Updated
- Jan 3, 2025
- Licenses
-
7843 (LA)2023035096 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1401 MUSKOPF PLDUPO, IL, 622391450Browse IL providers · Browse ZIP 62239
- Phone
- 5046506299
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.