| Doctor Name: | MR. KEVIN PATRICK DAVIDSON |
| NPI Number: | 1073501631 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | E.00007850 |
| Business Practice Address: | 203 N Jackson Ave Wylie, TX - 750984444 |
| Business Phone Number: | 9724427770 |
| Business Fax Number: | 9724427771 |
| Mailing Address: | 1110 E Branch Hollow Dr Apt 385, CARROLLTON |
| State: | TX |
| Postal Code: | 750071091 |
| Phone Number: | 9727861701 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2005 |
| NPI Last Update Date: | 12/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E.00007850 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |