Individual
ABIGAYLE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5659 DUNCAN DR, LAS VEGAS, NV 89130-2811
(702) 385-2020
Mailing address
3704 AUSTELL ST, LAS VEGAS, NV 89129-6453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/26/2010
Last updated
06/26/2013
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