Individual provider · Type 1 NPI

Angela Nichole Davis

Mental Health Counselor · San Pablo, CA

NPI number 1407129463 Active

Practice location

2523 El Portal Dr, Suite 201
San Pablo, CA 94806-3305

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1407129463

Angela Nichole Davis's National Provider Identifier is 1407129463, issued on Feb 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Pablo, CA. The record was last updated on Feb 22, 2012.