Individual
JORDAN KELSEY DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 BLOOMFIELD AVE STE 200, WEST CALDWELL, NJ 07006-7131
(453) 080-8973
Mailing address
3232D COGHLAN RD, DOVER, NJ 07801-5738
(816) 785-8100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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