Individual
NICHOLAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
Mailing address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13060
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2017
Last updated
01/19/2023
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