Individual provider · Type 1 NPI

Keith Gerard Davis

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1104169127 Active

Practice location

4715 Crenshaw Blvd
Los Angeles, CA 90043-1233

Call (323) 988-3744 Map

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 1104169127

Keith Gerard Davis's National Provider Identifier is 1104169127, issued on Mar 27, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 27, 2013.