Provider Demographics
NPI:1619457355
Name:DUFFEY, DEON L (MBA)
Entity type:Individual
Prefix:
First Name:DEON
Middle Name:L
Last Name:DUFFEY
Suffix:
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 JEFFRIES ST
Mailing Address - Street 2:
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263-3547
Mailing Address - Country:US
Mailing Address - Phone:661-565-7588
Mailing Address - Fax:
Practice Address - Street 1:2901 S H ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-5602
Practice Address - Country:US
Practice Address - Phone:661-398-4303
Practice Address - Fax:661-398-4306
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist