Individual
LORI LYNN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 E PARK DR, PAYSON, AZ 85541-4442
(928) 970-1027
Mailing address
901 E PARK DR, PAYSON, AZ 85541-4442
(928) 970-1027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17175
AZ
Other
Enumeration date
04/06/2018
Last updated
03/13/2021
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