| Christina Davis, | |
|
1466 Lincoln Ave, San Rafael, CA 94901-2021 | |
| (415) 457-4755 | |
| (415) 457-0849 |
| Full Name | Christina Davis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1466 Lincoln Ave, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184008831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Entity Name | Total Life Ca Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689389603 PECOS PAC ID: 3173989332 Enrollment ID: O20230515002327 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Davis, 1466 Lincoln Ave, San Rafael, CA 94901-2021 Ph: (415) 457-4755 | Christina Davis, 1466 Lincoln Ave, San Rafael, CA 94901-2021 Ph: (415) 457-4755 |
Lisa Wynland Lukianoff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Northgate Dr, Family Service Agency Of Marin, San Rafael, CA 94903 Phone: 415-491-5700 | |
Sara Chambers, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Northgate Dr Ste 100, Family Service Agency Of Marin, San Rafael, CA 94903 Phone: 415-491-5700 | |
Christopher A Jefferson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1466 Lincoln Ave, San Rafael, CA 94901 Phone: 805-766-9426 | |
Mr. Orlando Terrell Wiggins Sr., RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 D St, San Rafael, CA 94901 Phone: 415-492-4444 | |
Mr. Scott B. Raymer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Skyview Ter, San Rafael, CA 94903 Phone: 415-491-0708 | |
Mr. Daniel Alan Linder, MA, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 C St, San Rafael, CA 94901 Phone: 415-456-0802 | |
Ms. Anneli Kim Richards, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Carlos Dr, Bay Area Community Resources, San Rafael, CA 94903 Phone: 415-444-5580 Fax: 415-444-5598 |