Individual provider · Type 1 NPI
Nicole Davis, PSYD
Mental Health Counselor · El Segundo, CA
NPI number
1972115293
Active
Practice location
128 Sierra St Ste C
El Segundo, CA 90245-4117
Mailing address
419 Waterview St
Playa Del Rey, CA 90293-8052
Other practice locations
- 11340 W Olympic Blvd Ste 268, Los Angeles, CA 90064-1612 · (714) 576-6819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PSB94026437 (CA) |
| Mental Health Counselor | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1972115293
Nicole Davis, PSYD's National Provider Identifier is 1972115293, issued on Aug 18, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in El Segundo, CA. The record was last updated on Jan 17, 2024.