Individual
MS. VICTORIA JEAN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1601 2ND AVE N STE 400, GREAT FALLS, MT 59401-3276
(406) 590-5963
(406) 727-7451
Mailing address
4617 DIANA DR, GREAT FALLS, MT 59405-3807
(406) 590-5963
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-27110
MT
Other
Enumeration date
12/08/2017
Last updated
01/10/2020
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