Individual
KATHRYN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC2
Contact information
Practice address
210 E 58TH ST, NEW YORK, NY 10022-2030
(917) 924-4456
Mailing address
210 E 58TH ST, NEW YORK, NY 10022-2030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18334
NY
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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