Provider Information for 1639877111
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CHRISTINA AMI DAVILA M. Ed, LPC, LCDC-I
Sex: Female
NPI: 1639877111
Last Updated: 2023-02-23
Certification Date: 2023-02-23
Certification Date: 2023-02-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1639877111 | ||||||||||||
| Enumeration Date | 2023-02-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 9830 CAMINO VILLA APT 212 SAN ANTONIO, TX 78254-5697 United States Phone: 409-779-1091 | Fax: | ||||||||||||
| Primary Practice Address | 9830 CAMINO VILLA APT 212 SAN ANTONIO, TX 78254-5697 United States Phone: 409-779-1091 | Fax: | ||||||||||||
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