Individual
RICHARD DAVENPORT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, LMSW
Contact information
Practice address
201 S MARKET ST, OTTUMWA, IA 52501-2924
(641) 683-5773
(641) 226-5759
Mailing address
201 S MARKET ST, OTTUMWA, IA 52501-2924
(641) 683-5773
(641) 226-5759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00358
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912952367
—
IA
Enumeration date
06/27/2013
Last updated
06/27/2013
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