Jennifer L Davenport, LMHCA, SUDP Valid NPI
Individual provider · Mental Health Counselor · Shelton, WA
- NPI
- 1922230242
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- MC61045886 (WA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-08-20
- Last updated
- 2020-09-30
Practice location
2120 Adams St
Shelton, WA 98584-2902
(360) 580-2612