Individual
MRS. LAURA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1020 BARBER CREEK DR STE 213, STE.213, WATKINSVILLE, GA 30677-5984
(706) 548-9545
(706) 548-9976
Mailing address
PO BOX 1558, WATKINSVILLE, GA 30677-0031
(706) 548-9545
(706) 548-9976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC003222
GA
Other
Enumeration date
11/17/2005
Last updated
05/22/2009
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