Provider Demographics
NPI:1891286522
Name:DAVIS, KARINA DAWN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KARINA
Middle Name:DAWN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KARINA
Other - Middle Name:DAWN
Other - Last Name:RIOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:438 COLUSA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4148
Mailing Address - Country:US
Mailing Address - Phone:530-755-0735
Mailing Address - Fax:530-755-0737
Practice Address - Street 1:438 COLUSA AVE STE A
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4148
Practice Address - Country:US
Practice Address - Phone:530-755-0735
Practice Address - Fax:530-755-0737
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103164106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist