Individual
CORRENA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. MFT, RC, CMHS
Contact information
Practice address
2828 MISSION HILL RD, TULALIP, WA 98271-9706
(360) 716-4089
Mailing address
2828 MISSION HILL RD, TULALIP, WA 98271-9706
(360) 716-4089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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