Individual provider · Type 1 NPI

Robert Davis

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1194239558 Active

Practice location

132 W 10th St
San Pedro, CA 90731-3702

Call (310) 514-4940 Map

Mailing address

PO Box 328
San Pedro, CA 90733-0328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X169600 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194239558

Robert Davis's National Provider Identifier is 1194239558, issued on Nov 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Nov 1, 2026.