Individual
JOHN DAVODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 MORENA BLVD STE 200, SAN DIEGO, CA 92110-3850
(619) 398-3261
Mailing address
1260 MORENA BLVD STE 200, SAN DIEGO, CA 92110-3850
(619) 398-3261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
12/20/2023
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