Individual provider · Type 1 NPI
Annetta M. G. Davenport, LMHC
Mental Health Counselor · Mary Esther, FL
NPI number
1710294749
Active
Practice location
124 E Miracle Strip Pkwy Ste 204
Mary Esther, FL 32569-1990
Fax (850) 226-7157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH9997 (FL) |
| Mental Health Counselor Primary | 101YM0800X | MH9997 (FL) |
| Professional Counselor | 101YP2500X | MH9997 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1710294749
Annetta M. G. Davenport, LMHC's National Provider Identifier is 1710294749, issued on Sep 13, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mary Esther, FL. The record was last updated on Jun 15, 2011.