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Mr. Dave Davis
Addiction (Substance Use Disorder) Counselor in San Luis Obispo, California
NPI 1073762209

Dave Davis is an Addiction (Substance Use Disorder) Counselor based in San Luis Obispo, CA and is specialized in Addiction (Substance Use Disorder). Dave Davis practices in San Luis Obispo, CA. The NPI Number for Dave Davis is 1073762209 and holds a License No. (California).

The current practice location address for Dave Davis is 2180 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-4753.

Location: 2180 Johnson Ave, San Luis Obispo, CA, 93401-4558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073762209
Provider Name
Dave Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
2180 Johnson Ave, San Luis Obispo, CA, 93401-4558
Phone Number
805-781-4753
Fax Number
Provider Enumeration Date
09/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4006 05 CA
institution
Provider Business Practice Location Address Details
Address
2180 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4558
Phone Number
805-781-4753
Fax Number
person
Provider Business Mailing Address Details
Address
2180 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4558
Phone Number
805-781-4753
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
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