Dolores Maria Davis
Counselor, Mental Health in Fresno, CA. Individual provider (NPI-1).
NPI number1629138680
StatusActive
Last updated in NPPESJan 3, 2011
Details
- NPI
- 1629138680
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Dolores Maria Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Jan 3, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 225800000X | Recreation Therapist | – | – |
Practice location
83 E Shaw Ave102
Fresno, CA 93710-7620
Phone 559-226-0167 · Fax 559-226-1559
Mailing address
83 E Shaw Ave102
Fresno, CA 93710-7620
Phone 559-226-0167 · Fax 559-226-1559
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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