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Ms. Tamy Davenport
Mental Health Counselor in Ada, Oklahoma
NPI 1093145674

Tamy Davenport is a Mental Health Counselor based in Ada, OK and is specialized in Mental Health. Tamy Davenport practices in Ada, OK. The NPI Number for Tamy Davenport is 1093145674 and holds a License No. (Oklahoma).

The current practice location address for Tamy Davenport is 111 East 12Th Street, Ada, OK and can be reached out via phone at 580-436-2690.

Location: 111 East 12Th Street, Ada, OK, 74820-4673
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093145674
Provider Name
Tamy Davenport
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 East 12Th Street, Ada, OK, 74820-4673
Phone Number
580-436-2690
Fax Number
Provider Enumeration Date
11/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 East 12Th Street
City
Ada
State
Oklahoma
Zip
74820
Phone Number
580-436-2690
Fax Number
person
Provider Business Mailing Address Details
Address
111 East 12Th Street
City
Ada
State
Oklahoma
Zip
74820
Phone Number
580-436-2690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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