Individual provider · Type 1 NPI

Donovan Dettle

Counselor · Santa Cruz, CA

NPI number 1346957461 Active

Practice location

530 Soquel Ave
Santa Cruz, CA 95062-2301

Call (831) 426-7322 Map

Mailing address

PO Box 214
Aptos, CA 95001-0214

Other practice locations

280 Green Valley Rd, Freedom, CA 95019-3112 · (831) 426-7322

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	None listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1346957461

Donovan Dettle's National Provider Identifier is 1346957461, issued on Oct 28, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Cruz, CA. The record was last updated on Dec 28, 2022.