Individual provider · Type 1 NPI

Rudella Davenport

Mental Health Counselor · Vicksburg, MS

NPI number 1558045377 Active

Practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Call (601) 638-0031 Map

Fax (601) 638-4950

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1558045377

Rudella Davenport's National Provider Identifier is 1558045377, issued on Jun 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vicksburg, MS. The record was last updated on Jun 12, 2023.