Individual
CHRISTINA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
(415) 457-4755
(415) 457-0849
Mailing address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
(415) 457-4755
(415) 457-0849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
04/16/2018
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