Deonte Davol Clayton, RADT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Desert Hot Springs, CA
NPI 1750163325 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1750163325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- R1462020322 (CA)
- Practice address
- 18225 Driscoll Rd
Desert Hot Springs, CA 92241-8553 - Phone
- (760) 424-1899
- NPI assigned
- Oct 18, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1462020322 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1462020322 | CA | Yes |
Addresses
Primary practice location
18225 Driscoll Rd
Desert Hot Springs, CA 92241-8553
Mailing address
44359 Palm St
Indio, CA 92201-3116
Phone (760) 342-6616
Other providers in Desert Hot Springs, CA
- Doris Chism
- Lorraine Y Chun
- Andrew Harold Cirner
- Sandra Clark
- Sheila Jean Clark
- Joseph Clipper II
- Raemar V Coloma
- Chelsie Colombini
- Cristen Cook
- Alec Cordoba
All providers in Desert Hot Springs, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.