Individual
ANDREA DAWN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1705 CENTENNIAL BLVD STE 2, SPRINGFIELD, OR 97477
(541) 818-0009
(541) 780-6967
Mailing address
1705 CENTENNIAL BLVD STE 2, SPRINGFIELD, OR 97477
(503) 542-2300
(503) 224-5960
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4565
OR
Other
Enumeration date
02/16/2021
Last updated
07/25/2023
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