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Joseph Alan Davenport
Addiction (Substance Use Disorder) Counselor in Vista, California
NPI 1124666367

Joseph Alan Davenport is an Addiction (Substance Use Disorder) Counselor based in Vista, CA and is specialized in Addiction (Substance Use Disorder). Joseph Alan Davenport practices in Vista, CA. The NPI Number for Joseph Alan Davenport is 1124666367 and holds a License No. (California).

The current practice location address for Joseph Alan Davenport is 993 Postal Way, Vista, CA and can be reached out via phone at 760-630-9922.

Location: 993 Postal Way, Vista, CA, 92083-6945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124666367
Provider Name
Joseph Alan Davenport
Credential
Provider Entity Type
Individual
Gender
Male
Address
993 Postal Way, Vista, CA, 92083-6945
Phone Number
760-630-9922
Fax Number
Provider Enumeration Date
12/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
993 Postal Way
City
Vista
State
California
Zip
92083-6945
Phone Number
760-630-9922
Fax Number
person
Provider Business Mailing Address Details
Address
993 Postal Way
City
Vista
State
California
Zip
92083-6945
Phone Number
760-630-9922
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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