| Daniel Davis Licensed Marriage And Family Therapist A Professional Cor | |
|
1588 Homestead Road Suite G Santa Clara CA 95050-4783 | |
| (408) 249-0014 | |
| (408) 249-0018 |
| Full Name | Daniel Davis Licensed Marriage And Family Therapist A Professional Cor |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1588 Homestead Road, Santa Clara, California |
| Authorized Official Name and Position | Daniel Robert Davis (PRESIDENT) |
| Authorized Official Contact | 4082490014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Davis Licensed Marriage And Family Therapist A Professional Cor 1588 Homestead Rd Mailbox 1 Santa Clara CA 95050-4783 Ph: (408) 249-0014 | Daniel Davis Licensed Marriage And Family Therapist A Professional Cor 1588 Homestead Road Suite G Santa Clara CA 95050-4783 Ph: (408) 249-0014 |
| NPI Number | 1831634526 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831634526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT35938 (California) | Primary |
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