Individual
JAQWAYLON DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 KALISTE SALOOM RD STE 121, LAFAYETTE, LA 70508-4230
(337) 205-3244
(337) 800-1287
Mailing address
850 KALISTE SALOOM RD STE 121, LAFAYETTE, LA 70508-4230
(337) 205-3244
(337) 800-1287
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9251
LA
Other
Enumeration date
12/18/2015
Last updated
04/13/2026
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