Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 provides Clinical Psychologist services 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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