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NPI Code Detail

MEDICARE: DARLENE DAVIS

MEDICARE: DARLENE DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorCA
2171400000XHealth & Wellness CoachCA
3171M00000XCase Manager/Care CoordinatorCA
4174H00000XHealth EducatorCA
5251B00000XCase Management AgencyCA
6101YM0800XMental Health CounselorCA

General Provider Information

NPI Number : 1043162308
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE DAVIS
Provider Business Mailing Address
First Line : 2300 SYLVAN AVE UNIT 577171
Second Line :
City : MODESTO
State : CA
Zip : 95357-2044
Country : US
Telephone Number : 702-971-7471
Fax Number :
Provider Business Practice Location Address
First Line : 2300 SYLVAN AVE UNIT 577171
Second Line :
City : MODESTO
State : CA
Zip : 95357-2044
Country : US
Telephone Number : 209-502-5575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/11/2026

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Directions to “ DARLENE DAVIS ” Practice Location

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