Individual
JACQUELINE DENISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21250 BOX SPRINGS RD, MORENO VALLEY, CA 92557-8705
(951) 686-3706
Mailing address
140 E STETSON AVE # 111, HEMET, CA 92543-7139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13441
CA
Other
Enumeration date
08/29/2018
Last updated
07/25/2023
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