Kendall Donnell Davis, LPC,LAC | |
4565 Kendall Pkwy, Loveland, CO 80538-9268 | |
(970) 410-8228 | |
Not Available |
Full Name | Kendall Donnell Davis |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 4565 Kendall Pkwy, Loveland, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689108797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.1813 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPC.0019132 (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
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Kendall Donnell Davis, LPC,LAC 3800 Automation Way Ste 102, Fort Collins, CO 80525-3451 Ph: () - | Kendall Donnell Davis, LPC,LAC 4565 Kendall Pkwy, Loveland, CO 80538-9268 Ph: (970) 410-8228 |
Jessica Brien, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 E 4th St, Loveland, CO 80537 Phone: 970-203-4743 | |
Ms. Elizabeth Seaboch, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2114 N. Lincoln, Ste. 108c, Loveland, CO 80538 Phone: 970-278-9653 Fax: 970-663-1579 | |
Crystal Ann Adams, LSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 Meadow Creek Ct, Loveland, CO 80538 Phone: 970-391-4165 | |
Jennifer Townsend, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 E 29th St Ste 201, Loveland, CO 80538 Phone: 970-310-3406 | |
Dawn M Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4565 Kendall Pkwy, Loveland, CO 80538 Phone: 970-410-8228 Fax: 855-212-5682 | |
Christa Monika Ahrens, MA, NCC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 743 S Dotsero Dr, Loveland, CO 80537 Phone: 970-218-7174 | |
Sofia Aguilera, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2097 Chelsea Dr, Loveland, CO 80538 Phone: 970-239-1148 |