Individual
ELISE LOUISE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 SW COLUMBIA ST, SUITE 6210, BEND, OR 97702-1099
(541) 383-3005
(541) 383-1883
Mailing address
600 SW COLUMBIA ST, SUITE 6210, BEND, OR 97702-1099
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
L6685
OR
Other
Enumeration date
04/01/2014
Last updated
09/19/2016
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