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Bruce Davenport
Professional Counselor in Jefferson City, Tennessee
NPI 1790552255

Bruce Davenport is a Professional Counselor based in Jefferson City, TN and is specialized in Professional. Bruce Davenport practices in Jefferson City, TN. The NPI Number for Bruce Davenport is 1790552255 and holds a License No. LPC0000000729 (Tennessee).

The current practice location address for Bruce Davenport is 1820 Paul Dr, Jefferson City, TN and can be reached out via phone at 423-312-4687.

Location: 1820 Paul Dr, Jefferson City, TN, 37760-5229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790552255
Provider Name
Bruce Davenport
Credential
Provider Entity Type
Individual
Gender
Male
Address
1820 Paul Dr, Jefferson City, TN, 37760-5229
Phone Number
423-312-4687
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1820 Paul Dr
City
Jefferson City
State
Tennessee
Zip
37760-5229
Phone Number
423-312-4687
Fax Number
person
Provider Business Mailing Address Details
Address
1820 Paul Dr
City
Jefferson City
State
Tennessee
Zip
37760-5229
Phone Number
423-312-4687
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC0000000729 (Tennessee)
Definition
Definition to come...
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