# DAVIS COUNSELING AND THERAPEUTIC SERVICES

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

## Provider details

- **NPI number:** 1912750860
- **Authorized official:** DEATRIA DAVIS LMFT (OWNER)
- **Authorized official phone:** (209) 752-1965

## Contact information

- **Practice address:** 1350 E PACHECO BLVD, LOS BANOS, CA 93635
- **Practice address phone:** (209) 270-8799
- **Mailing address:** 8840 SAN YSIDRO AVE, GILROY, CA 95020-3682
- **Mailing address phone:** (209) 270-8799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |

## Other

- **Enumeration date:** 04/10/2024
- **Last updated:** 04/10/2024