Individual provider · Type 1 NPI

Ike Lenard Davis Jr.

Mental Health Counselor · Vallejo, CA

NPI number 1023764594 Active

Practice location

160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Mental Health Counselor Primary 101YM0800X18224 (CA)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1023764594

Ike Lenard Davis Jr.'s National Provider Identifier is 1023764594, issued on Feb 23, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vallejo, CA. The record was last updated on Dec 18, 2024.