Most Relevant Information
Provider Data
| NPI Number: | 1003182726 |
| Provider Name: | MICHELLE LYN DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2012 |
| Last Updated: | 03/17/2016 |
Provider Practice Location
144 S E ST
SUITE 200
SANTA ROSA
CA
954044777
Practice Location Phone/Fax
| Phone: | 7075296270 |
| Fax: |
Provider Mailing Location
144 S E ST
SUITE 200
SANTA ROSA
CA
954044777
Provider Mailing Phone/Fax
| Phone: | 7075296270 |
| Fax: |