JONTA LA'RON DAVENPORT NPI 1093137978

NPI Information

NPI: 1093137978
Provider Name: JONTA LA'RON DAVENPORT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3480 BUSKIRK AVE STE 210
PLEASANT HILL, CA
ZIP 94523
Phone: (925) 933-2627
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Jonta La'ron Davenport is a mental health counselor in Pleasant Hill, CA. Jonta La'ron Davenport NPI is 1093137978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3480 BUSKIRK AVE STE 210
PLEASANT HILL, CA
ZIP 94523-304
Phone: (925) 933-2627

The enumeration date for this NPI number is 1/13/2014 and was last updated on 10/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCI13420820	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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