Individual
DEVIN FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Mailing address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APCC12058
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/17/2015
Last updated
04/15/2025
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