Individual
MICHELLE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
64 MAKAENA PL, MAKAWAO, HI 96768-8265
(808) 573-6651
Mailing address
64 MAKAENA PL, MAKAWAO, HI 96768-8265
(808) 573-6651
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
428
HI
Other
Enumeration date
07/12/2016
Last updated
07/19/2018
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