Individual provider · Type 1 NPI

Joseph Alan Davenport

Addiction (Substance Use Disorder) Counselor · Vista, CA

NPI number 1124666367 Active

Practice location

993 Postal Way
Vista, CA 92083-6945

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124666367

Joseph Alan Davenport's National Provider Identifier is 1124666367, issued on Dec 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vista, CA. The record was last updated on Dec 18, 2019.