Individual
MCKENZIE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5507 W WALSH LN STE 201, ROGERS, AR 72758-8995
(479) 595-0333
Mailing address
10800 FINANCIAL CENTRE PKWY STE 290, LITTLE ROCK, AR 72211-3581
(501) 781-2230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AR
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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