Individual provider · Type 1 NPI

Desmond Deon Davis

Addiction (Substance Use Disorder) Counselor · San Fernando, CA

NPI number 1386499846 Active

Practice location

762 Griswold Ave
San Fernando, CA 91340-2105

Call (747) 500-9405 Map

Mailing address

25792 Iris Ave Unit A
Moreno Valley, CA 92551-2970

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X17869 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17869 (CA)

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

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About NPI 1386499846

Desmond Deon Davis's National Provider Identifier is 1386499846, issued on Apr 18, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Fernando, CA. The record was last updated on Apr 18, 2024.