Carl Nathaniel Davis Valid NPI
Individual provider · Marriage & Family Therapist · Lynwood, CA
- NPI
- 1477019602
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- AMFT107439 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-02-12
- Last updated
- 2019-02-12
Practice location
2640 Industry Way
Lynwood, CA 90262-4284
(310) 627-4525