PHILIP MICHAEL DAVIS

VALLEJO, CA
NPI1770723900
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-02-27
Last Update Date2009-02-27
Business Address
-- PHILIP MICHAEL DAVIS
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: 707-647-1520
Mailing Address
-- PHILIP MICHAEL DAVIS
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: