Organization · Type 2 NPI

Mikol S Davis Child & Family Counseling A Prof Corp

Clinical Psychologist · San Rafael, CA

NPI number 1033412853 Active

Practice location

1703 5th Ave Ste 101
San Rafael, CA 94901-1853

Fax (415) 459-3682

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X00PL90630 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1033412853

Mikol S Davis Child & Family Counseling A Prof Corp's National Provider Identifier is 1033412853, issued on Dec 16, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Rafael, CA. The record was last updated on Nov 21, 2025.