Individual
MS. SHANNON B DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1201 N FANT ST, ANDERSON, SC 29621-4821
(864) 353-3384
Mailing address
6 ACADEMY DR, WILLIAMSTON, SC 29697-2110
(864) 940-2671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10748
SC
Other
Enumeration date
04/28/2022
Last updated
03/24/2025
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