Individual provider · Type 1 NPI

Jackie Davis, LMFT

Mental Health Counselor · Glendale, CA

NPI number 1386519304 Active

Practice location

1325 Graynold Ave
Glendale, CA 91202-2040

Call (818) 681-2388 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X32280 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1386519304

Jackie Davis, LMFT's National Provider Identifier is 1386519304, issued on Oct 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, CA. The record was last updated on Oct 8, 2025.