Davenport, Jennifer L

Davenport, Jennifer L is an sole proprietor health care provider with primary practice located at 2120 Adams St , Shelton WA 98584-2902. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Davenport, Jennifer L can be contacted via phone (360) 580-2612.

Contact Information

Primary practice address
2120 Adams St Shelton WA 98584-2902
Phone: (360) 580-2612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 00005501 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC61045886 Washington

Profile Details

NPI number 1922230242
LBN Legal business name Davenport, Jennifer L
Credentials LMHCA, SUDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2009
Last updated Sep 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers