Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SUSAN DAVIS
ActiveKELLY SUSAN DAVIS is a Mental Health Counselor healthcare provider located in SAN RAFAEL, California. NPI 1093143554 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1093143554
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2013 (12.79014057084 yrs)
- Last Updated
- Mar 10, 2025
- License
-
MT5113 (FL)
Practice Information
- Address
-
900 5TH AVESUITE 150SAN RAFAEL, CA, 949012959Browse CA providers · Browse ZIP 94901
- Phone
- 4154576964
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ANN DALE RIVO | — | 1972574929 |
| DR. JOEL FAY | PSYD | 1851317762 |
| MARILYN MAZER | LMFT | 1295758209 |
| BRUCE FRASER GURGANUS | MFT | 1114940624 |
| MR. JASON LA BOU | — | 1285743096 |
| HASAN ALY | — | 1275642001 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.