Individual
MR. ANTHONY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
1016 N HUDSON AVE APT 1, LOS ANGELES, CA 90038-2539
(323) 301-6172
Mailing address
1016 N HUDSON AVE APT 1, LOS ANGELES, CA 90038-2539
(323) 301-6172
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
81838
CA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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