Healthcare Provider Details

I. General information

NPI: 1891286522
Provider Name (Legal Business Name): KARINA DAWN DAVIS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARINA DAWN RIOS LMFT

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11483 MOURNING DOVE
BROWNS VALLEY CA
95918-9645
US

IV. Provider business mailing address

PO BOX 66
MARYSVILLE CA
95901-0001
US

V. Phone/Fax

Practice location:
  • Phone: 530-434-0325
  • Fax:
Mailing address:
  • Phone: 530-434-0325
  • Fax: 530-491-4086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number133223
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: