Individual
ANGELA NICHOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2523 EL PORTAL DR, SUITE 201, SAN PABLO, CA 94806-3305
(510) 439-3130
Mailing address
2523 EL PORTAL DR, SUITE 201, SAN PABLO, CA 94806-3305
(510) 439-3130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/22/2012
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