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

Jake Davis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063094092

Jake Davis is an Addiction (Substance Use Disorder) Counselor in Lincoln Heights, California. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3619 N Mission Rd
Lincoln Heights, CA 90031-3136
Phone: (213) 721-0010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11027 Burbank Blvd, North Hollywood, CA 91601-2431 — (818) 985-8323

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1063094092
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

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