Individual provider · Type 1 NPI

Carl Derrick Davis

Mental Health Counselor · Los Angeles, CA

NPI number 1881764009 Active

Practice location

1605 Eastlake Ave
Los Angeles, CA 90033-1009

Call (323) 226-8826 Map

Mailing address

1475 Wyatt Ct
San Diego, CA 92154-4830

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1881764009

Carl Derrick Davis's National Provider Identifier is 1881764009, issued on Nov 8, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 12, 2011.