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Organization

DAVENPORT & ASSOCIATES COUNSELING AND CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMEERAH DAVENPORT PHD (COUNSELOR/OWNER)
(313) 559-2013
Entity
Organization

Contact information

Practice address
22020 GREATER MACK AVE., ST. CLAIR SHORES, MI 48080-2369
(313) 559-2013
Mailing address
22020 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2369
(313) 559-2013

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010707
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023552452
NPI
Enumeration date
06/15/2017
Last updated
07/21/2022
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