Dezalyn Ann Devera
Counselor in Vallejo, CA. Individual provider (NPI-1).
NPI number1104359082
StatusActive
Last updated in NPPESMay 4, 2017
Details
- NPI
- 1104359082
- Entity type
- Individual (NPI-1)
- Name
- Dezalyn Ann Devera
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2017
- Last updated
- May 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
908 Tuolumne StVallejo, CA 94590-4641
Phone 707-648-8121 · Fax 707-648-8129
Mailing address
908 Tuolumne StVallejo, CA 94590-4641
Phone 707-648-8121 · Fax 707-648-8129
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