JAKE DAVIS

LINCOLN HEIGHTS, CA
NPI1063094092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-04-28
Last Update Date2025-01-24
Business Address
JAKE DAVIS
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031-3136
Phone number: 213-721-0010
Mailing Address
JAKE DAVIS
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031-3136
Phone number: 213-721-0010