Individual provider · Type 1 NPI

Jake Davis

Addiction (Substance Use Disorder) Counselor · Lincoln Heights, CA

NPI number 1063094092 Active

Practice location

3619 N Mission Rd
Lincoln Heights, CA 90031-3136

Other practice locations

  • 11027 Burbank Blvd, North Hollywood, CA 91601-2431 · (818) 985-8323

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063094092

Jake Davis's National Provider Identifier is 1063094092, issued on Apr 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lincoln Heights, CA. The record was last updated on Jan 24, 2025.