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Amy Lynn Davis

Counselor, Addiction (Substance Use Disorder) in Fairfield, CA. Individual provider (NPI-1).

NPI number1205242583
StatusActive
Last updated in NPPESJul 7, 2014

Details

NPI
1205242583
Entity type
Individual (NPI-1)
Name
Amy Lynn Davis
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2014
Last updated
Jul 7, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)RW8372CAYes

Practice location

620 Julmar Cir
Fairfield, CA 94534-4214

Phone 707-372-7536

Mailing address

620 Julmar Cir
Fairfield, CA 94534-4214

Phone 707-372-7536

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