Individual
LEANNA C DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
1 W 10TH ST, SHAWNEE, OK 74801-6801
(405) 275-2222
(405) 275-7740
Mailing address
1 W 10TH ST, SHAWNEE, OK 74801-6801
(405) 275-2222
(405) 275-7740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5129
OK
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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