Individual provider · Type 1 NPI
Clifton Davis Jr.
Addiction (Substance Use Disorder) Counselor · Loma Linda, CA
NPI number
1164514121
Active
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164514121
Clifton Davis Jr.'s National Provider Identifier is 1164514121, issued on Sep 28, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 8, 2007.