Individual
LATANYA DAVENPORT
Active
Individual
LATANYA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS ,MDIV ,CGS
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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