Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1679236947

Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy is a Mental Health Clinic/Center (Including Community Mental Health Center) in San Pedro, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

732 W 9th St
San Pedro, CA 90731-3634
Phone: (213) 915-4024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1679236947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Davis — President · (213) 915-4024
NPI enumeratedOctober 14, 2021
Last updated in NPPESOctober 14, 2021
Certification dateOctober 13, 2021
Mailing address1732 Aviation Blvd # 122, Redondo Beach, CA 90278-2810

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