Individual
DAVID IAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
140 ARBOR DR, SAN DIEGO, CA 92103-2007
(619) 543-6904
Mailing address
152 N COAST HIGHWAY 101 SPC 20, ENCINITAS, CA 92024-3266
(503) 522-0510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
11/30/2016
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