| Jake Christian Davis, | |
|
11682 Atlantic Ave, Lynwood, CA 90262-3832 | |
| (626) 501-2531 | |
| Not Available |
| Full Name | Jake Christian Davis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11682 Atlantic Ave, Lynwood, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396691812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1625540725 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Christian Davis, 308 Banbridge Ave, La Puente, CA 91744-4806 Ph: () - | Jake Christian Davis, 11682 Atlantic Ave, Lynwood, CA 90262-3832 Ph: (626) 501-2531 |
Trinidad Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11705 Deputy Yamamoto Pl, Lynwood, CA 90262 Phone: 323-357-6930 | |
Mr. John Kennedy Jr., M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3737 Martin Luther King Jr Blvd, Suite 550, Lynwood, CA 90262 Phone: 310-609-3890 Fax: 310-609-0301 | |
Samantha Lynette Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3680 E Imperial Hwy Ste 220, Lynwood, CA 90262 Phone: 213-241-3841 | |
Kalvin Small, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11705 Deputy Yamamoto Pl, Lynwood, CA 90262 Phone: 323-242-5000 | |
Erika C Viramontes, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-603-6949 | |
Keinay Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3680 E Imperial Hwy Ste 220, Lynwood, CA 90262 Phone: 323-769-7174 | |
Catherine Crist, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11705 Deputy Yamamoto Pl, Lynwood, CA 90262 Phone: 323-242-5000 |