Individual provider · Type 1 NPI

Jonta La'ron Davenport

Mental Health Counselor · Pleasant Hill, CA

NPI number 1093137978 Active

Practice location

3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304

Call (925) 933-2627 Map

Mailing address

4400 Glen Canyon Cir
Pittsburg, CA 94565-6458

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCI13420820 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093137978

Jonta La'ron Davenport's National Provider Identifier is 1093137978, issued on Jan 13, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pleasant Hill, CA. The record was last updated on Oct 9, 2020.