Individual
MISS JOANNE G DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
610 S COLLEGE RD, WILMINGTON, NC 28403-3202
(910) 799-1071
(910) 799-3313
Mailing address
610 S COLLEGE RD, WILMINGTON, NC 28403-3202
(910) 799-1071
(910) 799-3313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11548
NCBCBS
NC
Enumeration date
11/21/2006
Last updated
02/07/2013
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