Individual provider · Type 1 NPI

Ian William Davis

Mental Health Counselor · Grass Valley, CA

NPI number 1104301977 Active

Practice location

714 W Main St
Grass Valley, CA 95945-6410

Fax (530) 477-9803

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104301977

Ian William Davis's National Provider Identifier is 1104301977, issued on Sep 27, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grass Valley, CA. The record was last updated on Sep 27, 2018.