| Dr. Mikol S. Davis, Child & Family Counseling, A Professional Corporat | |
|
930 Irwin St Suite 215 San Rafael CA 94901-3340 | |
| (415) 459-1203 | |
| (415) 459-3682 |
| Full Name | Dr. Mikol S. Davis, Child & Family Counseling, A Professional Corporat |
|---|---|
| Speciality | Psychologist |
| Location | 930 Irwin St, San Rafael, California |
| Authorized Official Name and Position | Mikol S. Davis (PRESIDENT) |
| Authorized Official Contact | 4154591203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mikol S. Davis, Child & Family Counseling, A Professional Corporat 930 Irwin St Suite 215 San Rafael CA 94901-3340 Ph: (415) 459-1203 | Dr. Mikol S. Davis, Child & Family Counseling, A Professional Corporat 930 Irwin St Suite 215 San Rafael CA 94901-3340 Ph: (415) 459-1203 |
| NPI Number | 1033412853 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 01/30/2013 |
| Medicare PECOS PAC ID | 1557559283 |
|---|---|
| Medicare Enrollment ID | O20101222000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033412853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 00PL90630 (California) | Primary |
| Provider Name | Mikol S Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073525895 PECOS PAC ID: 0840488573 Enrollment ID: I20101222000856 |
Marin Neuropsychology And Psychological Center, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2154 4th St, San Rafael, CA 94901 Phone: 415-457-3451 Fax: 415-457-3819 | |
Family Service Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Northgate Dr, Family Service Agency Of Marin, San Rafael, CA 94903 Phone: 415-491-5700 Fax: 415-491-5755 | |
Marin Outpatient Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Albion St, San Rafael, CA 94901 Phone: 415-879-1723 | |
Bayside Marin, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 4th St, San Rafael, CA 94901 Phone: 800-757-7131 Fax: 415-454-3535 | |
Kaiser Permanente Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-491-3028 | |
Bay Area Community Resources, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Shoreline Parkway, San Rafael, CA 94901 Phone: 415-328-6269 |