NPIRadar

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

Find more providers