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

Mikol S Davis Child & Family Counseling a Prof Corp

Organization Clinical Psychologist · NPI 1033412853

Mikol S Davis Child & Family Counseling a Prof Corp is a Clinical Psychologist in San Rafael, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1703 5th Ave Ste 101
San Rafael, CA 94901-1853
Phone: (415) 459-1203
Fax: (415) 459-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 00PL90630 (CA)

Record details

NPI number1033412853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikol Davis — President · (415) 459-1203
NPI enumeratedDecember 16, 2010
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address1703 5th Ave Ste 101, San Rafael, CA 94901-1853

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