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Joseph Alan Davenport

Counselor, Addiction (Substance Use Disorder) in Vista, CA. Individual provider (NPI-1).

NPI number1124666367
StatusActive
Last updated in NPPESDec 18, 2019

Details

NPI
1124666367
Entity type
Individual (NPI-1)
Name
Joseph Alan Davenport
Sex
Male
Sole proprietor
No
Enumeration date
Dec 18, 2019
Certification date
Dec 18, 2019
Last updated
Dec 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

993 Postal Way
Vista, CA 92083-6945

Phone 760-630-9922

Mailing address

993 Postal Way
Vista, CA 92083-6945

Phone 760-630-9922

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Other Addiction (Substance Use Disorder) Counselor providers in Vista, CA

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