Individual provider · Type 1 NPI

Connie Lynn Davenport

Addiction (Substance Use Disorder) Counselor · Chatsworth, GA

NPI number 1497421044 Active

Practice location

1289 Gi Maddox Pkwy
Chatsworth, GA 30705-2069

Call (706) 971-3366 Map

Fax (706) 426-0949

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497421044

Connie Lynn Davenport's National Provider Identifier is 1497421044, issued on Aug 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chatsworth, GA. The record was last updated on Aug 23, 2021.