Individual provider · Type 1 NPI

Peggy Davenport

Mental Health Counselor · Yakima, WA

NPI number 1063582104 Active · reactivated Oct 23, 2012

Practice location

402 S 4th Ave
Yakima, WA 98902-3546

Mailing address

PO Box 2861
Yakima, WA 98907-2861

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00014548 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1063582104

Peggy Davenport's National Provider Identifier is 1063582104, issued on Nov 8, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Yakima, WA. The record was last updated on Oct 23, 2012.