Individual
RYAN TIERRA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1255 PROVIDENCE PLACE PKWY STE 115, LEXINGTON, KY 40511-8379
(216) 468-5000
(216) 456-8128
Mailing address
1255 PROVIDENCE PLACE PKWY STE 115, LEXINGTON, KY 40511-8379
(216) 468-5000
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
246478
KY
101YP2500X
Professional Counselor
Primary
287775
KY
Other
Enumeration date
01/04/2017
Last updated
10/23/2023
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