Jarrade Victor Davis
Counselor, Mental Health in Los Angeles, CA. Individual provider (NPI-1).
NPI number1053979880
StatusActive
Last updated in NPPESJul 28, 2019
Details
- NPI
- 1053979880
- Entity type
- Individual (NPI-1)
- Name
- Jarrade Victor Davis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2019
- Last updated
- Jul 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 89492 | CA | Yes |
Practice location
5201 S Vermont AveLos Angeles, CA 90037-3527
Phone 323-751-3026
Mailing address
8848 Lindell Ave Apt 7Downey, CA 90240-2366
Phone 530-632-4319
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