Individual provider · Type 1 NPI

Correna Davenport, MA. MFT, RC, CMHS

Professional Counselor · Tulalip, WA

NPI number 1568697456 Active

Practice location

2828 Mission Hill Rd
Tulalip, WA 98271-9706

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1568697456

Correna Davenport, MA. MFT, RC, CMHS's National Provider Identifier is 1568697456, issued on May 20, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tulalip, WA. The record was last updated on May 20, 2009.