person
Ms. Jennifer L Davenport, LMHCA,SUDP
Mental Health Counselor in Shelton, Washington
NPI 1922230242

Jennifer L Davenport is a Mental Health Counselor based in Shelton, WA and is specialized in Mental Health. Jennifer L Davenport practices in Shelton, WA and has the professional credentials of LMHCA,SUDP. The NPI Number for Jennifer L Davenport is 1922230242 and holds a License No. 00005501 (Washington).

The current practice location address for Jennifer L Davenport is 2120 Adams St, Shelton, WA and can be reached out via phone at 360-580-2612.

Location: 2120 Adams St, Shelton, WA, 98584-2902
person
Provider Profile Details
NPI Number
1922230242
Provider Name
Jennifer L Davenport
Credential
LMHCA,SUDP
Provider Entity Type
Individual
Gender
Female
Address
2120 Adams St, Shelton, WA, 98584-2902
Phone Number
360-580-2612
Fax Number
Provider Enumeration Date
08/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2120 Adams St
City
State
Zip
98584-2902
Phone Number
360-580-2612
Fax Number
person
Provider Business Mailing Address Details
Address
2120 Adams St
City
State
Zip
98584-2902
Phone Number
360-580-2612
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
MC61045886 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
00005501 (Washington)
Definition
Definition to come...
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