JOSEPH ALAN DAVENPORT

VISTA, CA
NPI1124666367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-12-18
Last Update Date2019-12-18
Business Address
JOSEPH ALAN DAVENPORT
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number: 760-630-9922
Mailing Address
JOSEPH ALAN DAVENPORT
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number: 760-630-9922