Individual provider · Type 1 NPI

Olivia Davenport

Mental Health Counselor · Mansfield Center, CT

NPI number 1083420640 Active

Practice location

6 Ledgebrook Dr Fl 2
Mansfield Center, CT 06250-1644

Call (860) 833-2657 Map

Mailing address

6 Ledgebrook Dr
Mansfield Center, CT 06250-1644

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6555 (CT)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Mansfield Center

See all in Mansfield Center →

About NPI 1083420640

Olivia Davenport's National Provider Identifier is 1083420640, issued on Dec 9, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mansfield Center, CT. The record was last updated on Dec 9, 2024.