Individual provider · Type 1 NPI

Matthew Davis, LAC

Mental Health Counselor · Mesa, AZ

NPI number 1194343392 Active

Practice location

3048 E Baseline Rd Ste 117
Mesa, AZ 85204-7288

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-24284 (AZ)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1194343392

Matthew Davis, LAC's National Provider Identifier is 1194343392, issued on Jul 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Sep 21, 2026.