Individual provider · Type 1 NPI

Tamy Davenport

Mental Health Counselor · Ada, OK

NPI number 1093145674 Active

Practice location

111 East 12th Street
Ada, OK 74820

Call (580) 436-2690 Map

Mailing address

2609 Oakhurst Dr, Apt. B
Ada, OK 74820-4673

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093145674

Tamy Davenport's National Provider Identifier is 1093145674, issued on Nov 19, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ada, OK. The record was last updated on Nov 19, 2013.