Clifton Davis Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Loma Linda, CA
- NPI
- 1164514121
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-09-28
- Last updated
- 2007-07-08
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
(909) 825-7084