Individual
CAROLINA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6166 VESPER AVE, VAN NUYS, CA 91411-2851
(818) 997-0414
(818) 785-3461
Mailing address
6166 VESPER AVE, VAN NUYS, CA 91411-2851
(818) 997-0414
(818) 785-3461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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