| Jacqueline Davis, | |
|
222 S Harbor Blvd Ste 400, Anaheim, CA 92805-3743 | |
| (714) 517-6300 | |
| Not Available |
| Full Name | Jacqueline Davis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 222 S Harbor Blvd Ste 400, Anaheim, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720782477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPCC18167 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Orange | 1951215789 | 45 |
| Entity Name | County of Orange |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104963347 PECOS PAC ID: 1951215789 Enrollment ID: O20031117000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Davis, 2035 E Ball Rd Ste 200, Anaheim, CA 92806-5157 Ph: (714) 517-6333 | Jacqueline Davis, 222 S Harbor Blvd Ste 400, Anaheim, CA 92805-3743 Ph: (714) 517-6300 |
Rosemary Charmaine Dacosta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 W. Cerritos, Building 4, Anaheim, CA 92805 Phone: 714-687-6710 |
Ms. Judy Ann Bordeaux, MFTT Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 W Midway Dr, Anaheim, CA 92805 Phone: 714-517-7107 |
Dr. Steven Paul Euler, PSYD, LAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 E Ball Rd Ste 201, Anaheim, CA 92805 Phone: 714-254-8473 Fax: 714-254-8480 |
Joanne Han, Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 W Midway Dr, Anaheim, CA 92805 Phone: 714-517-7107 |
Alataua Tuua-burch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 S Quintana Dr, Anaheim, CA 92807 Phone: 714-363-1995 |
Emily Ruth Ploch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 S Quintana Dr, Anaheim, CA 92807 Phone: 714-988-9822 |
Juanita Montano Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1360 S Anaheim Blvd Ste 101, Anaheim, CA 92805 Phone: 714-948-7641 |