Individual provider · Type 1 NPI

Jarrade Victor Davis

Mental Health Counselor · Los Angeles, CA

NPI number 1053979880 Active

Practice location

5201 S Vermont Ave
Los Angeles, CA 90037-3527

Mailing address

8848 Lindell Ave Apt 7
Downey, CA 90240-2366

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X89492 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1053979880

Jarrade Victor Davis's National Provider Identifier is 1053979880, issued on Jun 5, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 28, 2019.