Jacqueline Davis, LPCC is a
Counselor - Mental Health based in Palomar Mountain, California. Jacqueline Davis is licensed to practice in * (Not Available) (license number ) and her current practice location is
32759 1/8 Birch Hill Road, Palomar Mountain, California. She can be reached at her office (for appointments etc.) via phone at
(760) 651-2881.
NPI number for Jacqueline Davis is 1871842872 and her current mailing address is Po Box 115, Palomar Mountain, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871842872.
Healthcare Provider's Profile
| Full Name | Jacqueline Davis |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 32759 1/8 Birch Hill Road, Palomar Mountain, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871842872
- Provider Enumeration Date: 09/05/2012
- Last Update Date: 12/21/2023
Medical Identifiers
Medical identifiers for Jacqueline Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871842872 | NPI | - | NPPES |
| 1871842872 | Other | MA | STATE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3820 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline Davis, LPCC
Po Box 115,
Palomar Mountain, CA 92060-0115
Ph: (760) 651-2881 | Jacqueline Davis, LPCC
32759 1/8 Birch Hill Road,
Palomar Mountain, CA 92060
Ph: (760) 651-2881 |
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