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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPSB94026437 (CA)
Mental Health Counselor 101YM0800XNone 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.