NPI Search for Physicians and Health Care Providers
CHRISTY DAVILA MS, LMFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1093055907
Individual Registrant:
CHRISTY DAVILA MS, LMFT
Gender: F
Not Sole Proprietor
Location and contact information for practice:
16390 MAIN ST GUERNEVILLE, CA 95446-9677 US
Tel: 707-823-1640 Fax: --
Contact information for business:
PO BOX 325 GUERNEVILLE, CA 95446-0325 US
Tel: 707-823-1640 Fax: --
Registration Information:
NPI: 1093055907
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist
| CA | 102201 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 1093055907 | CA | 05 |
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