Individual
CAROLINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
16700 VALLEY VIEW AVE, LA MIRADA, CA 90638-5830
(818) 314-6199
Mailing address
16700 VALLEY VIEW AVE, LA MIRADA, CA 90638-5830
(818) 314-6199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699425025
THERAPY
CA
Enumeration date
06/22/2022
Last updated
06/22/2022
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