Individual
DANA ANTOINE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 E 3RD ST APT 44, RICHMOND, VA 23224-4268
(804) 839-2436
Mailing address
19 E 3RD ST APT 44, RICHMOND, VA 23224-4268
(804) 839-2436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008417
VA
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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