Individual
CHRIS DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5060 N 19TH AVE STE 419, PHOENIX, AZ 85015-3214
(602) 849-5002
Mailing address
8914 W ADAM AVE, PEORIA, AZ 85382-2437
(702) 981-8002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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