Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy
NPI #1679236947 in San Pedro, California
Provider Information
- NPI Number
- 1679236947
- Entity Type
- Organization
- Organization Name
- Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 14, 2021
- Last Updated
- Oct 14, 2021
Practice Location
- Address
- 732 W 9TH ST
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-3634
- Phone
- (213) 915-4024
Authorized Official
- Name
- MS. JANE CHRISTINE GRAHAM DAVIS, LCSW
- Title
- PRESIDENT
- Phone
- (213) 915-4024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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