Provider Demographics
NPI:1831217595
Name:DEUTSCH, DAVID (BA, CATC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:BA, CATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2163 MONMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3801
Mailing Address - Country:US
Mailing Address - Phone:805-988-1112
Mailing Address - Fax:805-988-4883
Practice Address - Street 1:2575 WAGON WHEEL RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-1165
Practice Address - Country:US
Practice Address - Phone:805-988-1112
Practice Address - Fax:805-988-4883
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA071391101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)