Lora Marie Antoinette Davis, RSUDC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Stockton, CA
- NPI
- 1356292882
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 23397 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2026-02-09
- Last updated
- 2026-02-09
Practice location
417 N American St Apt G
Stockton, CA 95202-2104
(209) 683-9300