JASON DAVIS

FRESNO, CA
NPI1801944350
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Mr. JASON DAVIS
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
Mailing Address
Mr. JASON DAVIS
28794 SANDPIPER RD
TOLLHOUSE, CA 93667-9711
Phone number: 559-855-8534
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