Individual provider · Type 1 NPI

Kelly Susan Davis

Mental Health Counselor · San Rafael, CA

NPI number 1093143554 Active

Practice location

900 5th Ave, Suite 150
San Rafael, CA 94901-2959

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XMT5113 (FL)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1093143554

Kelly Susan Davis's National Provider Identifier is 1093143554, issued on Oct 21, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Mar 10, 2025.