Individual
BETHANY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 5111, OCEANSIDE, CA 92052-5111
(760) 542-8418
Mailing address
PO BOX 5111, OCEANSIDE, CA 92052-5111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
110328
CA
1041C0700X
Clinical Social Worker
Primary
137664
CA
Other
Enumeration date
08/10/2021
Last updated
03/27/2026
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