Davon Dean, is a
Counselor - Mental Health based in Fontana, California. Davon Dean is licensed to practice in California (license number ACSW102024) and his current practice location is
14677 Merrill Ave, Fontana, California. He can be reached at his office (for appointments etc.) via phone at
(951) 643-2340.
NPI number for Davon Dean is 1154094886 and his current mailing address is Po Box 9331, San Bernardino, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154094886.
Healthcare Provider's Profile
| Full Name | Davon Dean |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 14677 Merrill Ave, Fontana, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154094886
- Provider Enumeration Date: 07/28/2021
- Last Update Date: 09/08/2022
Medical Identifiers
Medical identifiers for Davon Dean such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154094886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ACSW102024 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Davon Dean is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Davon Dean,
Po Box 9331,
San Bernardino, CA 92427-0331
Ph: () - | Davon Dean,
14677 Merrill Ave,
Fontana, CA 92335-4219
Ph: (951) 643-2340 |
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