Individual provider · Type 1 NPI
Aisha J. Davenport
Mental Health Counselor · San Diego, CA
NPI number
1487360855
Active
Practice location
1202 Morena Blvd Ste 300
San Diego, CA 92110-3844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1487360855
Aisha J. Davenport's National Provider Identifier is 1487360855, issued on Jan 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jun 1, 2023.