JACKIE DAVIS LMFT NPI 1386519304

NPI Information

  • NPI: 1386519304
  • Provider Name: JACKIE DAVIS, LMFT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1325 GRAYNOLD AVE
    GLENDALE, CA
    ZIP 91202
  • Phone: (818) 681-2388

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NPI Details

Jackie Davis, LMFT is a mental health counselor in Glendale, CA. Jackie Davis, LMFT NPI is 1386519304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1325 GRAYNOLD AVE
GLENDALE, CA
ZIP 91202-040
Phone: (818) 681-2388

The enumeration date for this NPI number is 10/8/2025 and was last updated on 10/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health32280CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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