person
Mitchell K Davenport, LCPC
Mental Health Counselor in Rockford, Illinois
NPI 1750461646

Mitchell K Davenport is a Mental Health Counselor based in Rockford, IL and is specialized in Mental Health. Mitchell K Davenport practices in Rockford, IL and has the professional credentials of LCPC. The NPI Number for Mitchell K Davenport is 1750461646 and holds a License No. (Illinois).

The current practice location address for Mitchell K Davenport is 526 W State Street, Rockford, IL and can be reached out via phone at 815-968-9300 and via fax at 815-968-5314.

Location: 526 W State Street, Rockford, IL, 61101-1214
person
Provider Profile Details
NPI Number
1750461646
Provider Name
Mitchell K Davenport
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
526 W State Street, Rockford, IL, 61101-1214
Phone Number
815-968-9300
Fax Number
815-968-5314
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
526 W State Street
City
State
Zip
61101-1214
Phone Number
815-968-9300
Fax Number
815-968-5314
person
Provider Business Mailing Address Details
Address
526 W State Street
City
State
Zip
61101-1214
Phone Number
815-968-9300
Fax Number
815-968-5314
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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