Ethan Davis, LCSW
NPI #1023462728 in Roseville, California
Provider Information
- NPI Number
- 1023462728
- Entity Type
- Individual
- Name
- Ethan Davis, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 19, 2016
- Last Updated
- Nov 23, 2021
Practice Location
- Address
- 300 HARDING BLVD STE 108
- City
- Roseville
- State
- California
- ZIP Code
- 95678-2471
- Phone
- (916) 741-0884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Mental Health — Mental Health |
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