Individual
KIRSTEN LIL'VON CAMPBELL-DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA PSYCHOLOGY
Contact information
Practice address
1777 S BURLINGTON BLVD UNIT 271, BURLINGTON, WA 98233-3223
(360) 503-3815
Mailing address
1720 E COLLEGE AVE APT 45, GUTHRIE, OK 73044-4542
(918) 206-3953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
374J00000X
Doula
Primary
BD61609590
WA
Other
Enumeration date
12/05/2012
Last updated
12/11/2024
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