Doctor Name: | FIONNA MARIE DAVIS |
NPI Number: | 1962794776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 26783 |
Business Practice Address: | 1644 Central Ave Mckinleyville, CA - 955194342 |
Business Phone Number: | 7078393068 |
Business Fax Number: | 7078393827 |
Mailing Address: | 670 9th Street, Suite 203 ARCATA |
State: | CA |
Postal Code: | 955216249 |
Phone Number: | 7078268633 |
Fax Number: | 7078268633 |
NPI Enumeration Date: | 05/11/2011 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 26783 |
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 |