Ruben Alfonzo Davila
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Modesto, CA
NPI 1336959345 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1336959345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2000 W Briggsmore Ave
Modesto, CA 95350-3839 - Phone
- (209) 526-1476
- NPI assigned
- Jan 10, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Human Services | Current |
Accepting new patients |
Locations
2000 W Briggsmore Ave
Modesto, CA 95350
Phone (209) 526-1440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2000 W Briggsmore Ave
Modesto, CA 95350-3839
Mailing address
2000 W Briggsmore Ave
Modesto, CA 95350-3839
Phone (209) 526-1476
Other providers in Modesto, CA
- Jill Lisa David
- Milton Curtis David
- Veronica U David
- Anna Davila
- Breana M Davila
- Davis Guest Home, Inc.
- Nicole Renee Davis-Marenco
- Alexander Allen Davis
- Allysha Marie Davis
- Brenda Davis
All providers in Modesto, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.