Individual provider · Type 1 NPI

Cesslie Fabiola Davalos

Mental Health Counselor · Los Angeles, CA

NPI number 1104495290 Active

Practice location

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XACSW102812 (CA)
Clinical Social Worker 1041C0700XNone listed
Rehabilitation Practitioner 225400000XNone listed
Mental Health Counselor Primary 101YM0800X102812 (CA)

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About NPI 1104495290

Cesslie Fabiola Davalos's National Provider Identifier is 1104495290, issued on Jun 22, 2021. 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 Jun 27, 2023.