Individual
BARRY DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
7841 1ST AVE N, BIRMINGHAM, AL 35206-4354
(256) 452-1277
Mailing address
1919 OXMOOR RD # 267, HOMEWOOD, AL 35209-3502
(256) 452-1277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5406C
AL
101YM0800X
Mental Health Counselor
Primary
5406C
AL
1041C0700X
Clinical Social Worker
5406C
AL
Other
Enumeration date
10/13/2023
Last updated
12/07/2023
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