person
John Russell Davenport, LPCA
Professional Counselor in Gastonia, North Carolina
NPI 1821462805

John Russell Davenport is a Professional Counselor based in Gastonia, NC and is specialized in Professional. John Russell Davenport practices in Gastonia, NC and has the professional credentials of LPCA. The NPI Number for John Russell Davenport is 1821462805 and holds a License No. A11964 (North Carolina).

The current practice location address for John Russell Davenport is 635 Cox Rd, Gastonia, NC and can be reached out via phone at 704-691-7561.

Location: 635 Cox Rd, Gastonia, NC, 28054-3424
person
Provider Profile Details
NPI Number
1821462805
Provider Name
John Russell Davenport
Credential
LPCA
Provider Entity Type
Individual
Gender
Male
Address
635 Cox Rd, Gastonia, NC, 28054-3424
Phone Number
704-691-7561
Fax Number
Provider Enumeration Date
11/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
635 Cox Rd
City
State
Zip
28054-3424
Phone Number
704-691-7561
Fax Number
person
Provider Business Mailing Address Details
Address
635 Cox Rd
City
State
Zip
28054-3424
Phone Number
704-691-7561
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A11964 (North Carolina)
Definition
Definition to come...
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