Individual provider · Type 1 NPI

Lora Marie Antoinette Davis, RSUDC

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1356292882 Active

Practice location

417 N American St Apt G
Stockton, CA 95202-2104

Call (209) 683-9300 Map

Mailing address

333 N San Joaquin St
Stockton, CA 95202-2954

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X23397 (CA)

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

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About NPI 1356292882

Lora Marie Antoinette Davis, RSUDC's National Provider Identifier is 1356292882, issued on Feb 9, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Feb 9, 2026.