# DANIEL DAVIS LICENSED MARRIAGE AND FAMILY THERAPIST A PROFESSIONAL COR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831634526
- **Authorized official:** MR. DANIEL ROBERT DAVIS LMFT (PRESIDENT)
- **Authorized official phone:** (408) 249-0014

## Contact information

- **Practice address:** 1588 HOMESTEAD ROAD, SUITE G, SANTA CLARA, CA 95050-4783
- **Practice address phone:** (408) 249-0014
- **Practice address fax:** (408) 249-0018
- **Mailing address:** 1588 HOMESTEAD RD, MAILBOX 1, SANTA CLARA, CA 95050-4783
- **Mailing address phone:** (408) 249-0014
- **Mailing address fax:** (408) 249-0018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFT35938 | CA | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 01/04/2017