JACOB DAVIS

LOS ANGELES, CA
NPI1982147401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1237171116)
Enumeration Date2016-12-01
Last Update Date2016-12-01
Business Address
-- JACOB DAVIS
900 AVILA ST
LOS ANGELES, CA 90012-4287
Phone number: 213-229-0985
Mailing Address
-- JACOB DAVIS
900 AVILA ST
LOS ANGELES, CA 90012-4287
Phone number: 213-229-0985
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