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DONOVAN DETTLE
NPI 1346957461
Counselor in Santa Cruz, CA

Active since October 28, 2022
530 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 426-7322 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2022, Oct 28, 2022 (2 updates tracked since 2022).

About Donovan Dettle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONOVAN DETTLE (NPI 1346957461) is an individual counselor in Santa Cruz, California and active in the NPI registry since October 2022. He maintains a secondary practice location in Freedom.

NPPES Registry Identity

NPI1346957461
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDONOVAN DETTLE
Location Address530 SOQUEL AVESanta Cruz, CA 95062-2301
Mailing AddressPo Box 214Aptos, CA 95001-0214
Phone(831) 426-7322
Sole ProprietorNo
Enumeration DateOctober 28, 2022
Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1346957461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
530 SOQUEL AVE, Santa Cruz, CA 95062
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Secondary Practice Location 1

Location 1280 Green Valley RdFreedom, CA 95019-3112 · Phone (831) 426-7322

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA HAGEN
Rehabilitation Practitioner
530 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-7322
TROY WATTS BOOKOUT
Student in an Organized Health Care Education/Training Program
530 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-7322
REYMUNDO PEREZ JR. M.A.
Counselor (Mental Health)
530 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-7322
ANGELA MUNIZ
Rehabilitation Practitioner
530 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-7322
PARENTS CENTER
Community/Behavioral Health
530 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-7322
COURTNEY RUTH PEIXOTO DE MELO
Counselor (Mental Health)
530 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-7322
PATRICIA BRAVO
Rehabilitation Practitioner
530 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-7322
KAITLIN CHRISTINE HUNTER
Counselor
530 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-7322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donovan Dettle's NPI number?

The NPI number for Donovan Dettle is 1346957461. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Where is Donovan Dettle located?

Donovan Dettle practices at 530 Soquel Ave, Santa Cruz, CA 95062. The listed phone number is (831) 426-7322.

What is Donovan Dettle's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Donovan Dettle was last updated on December 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.