| Doctor Name: | JOLYN DAVIDSON |
| NPI Number: | 1013936822 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, LCSW, DCSW |
| License Number: | LCS 9379 |
| Business Practice Address: | 1338 Center Court Dr Suite 102 Covina, CA - 917243681 |
| Business Phone Number: | 6263392140 |
| Business Fax Number: | |
| Mailing Address: | 1338 Center Court Dr, Suite 102 COVINA |
| State: | CA |
| Postal Code: | 917243681 |
| Phone Number: | 6263392140 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 09/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS 9379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |