Individual provider · Type 1 NPI

Mitchell K. Davenport, LCPC

Mental Health Counselor · Rockford, IL

NPI number 1750461646 Active

Practice location

526 W State Street
Rockford, IL 61101-1214

Fax (815) 968-5314

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750461646

Mitchell K. Davenport, LCPC's National Provider Identifier is 1750461646, issued on Oct 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.