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Organization
MIKOL S DAVIS CHILD & FAMILY COUNSELING A PROF CORP
Active
Organization
MIKOL S DAVIS CHILD & FAMILY COUNSELING A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKOL S. DAVIS ED.D. (PRESIDENT)
(415) 459-1203
Entity
Organization
Contact information
Practice address
1703 5TH AVE STE 101, SAN RAFAEL, CA 94901-1853
(415) 459-1203
(415) 459-3682
Mailing address
1703 5TH AVE STE 101, SAN RAFAEL, CA 94901-1853
(415) 459-1203
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00PL90630
CA
Other
Enumeration date
12/16/2010
Last updated
11/21/2025
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