Individual provider · Type 1 NPI
Jennifer Kristen Davenport, MS, LCADC, CCS
Addiction (Substance Use Disorder) Counselor · Cherry Hill, NJ
NPI number
1760148530
Active
Practice location
1930 Marlton Pike E Ste E27
Cherry Hill, NJ 08003-4101
Fax (732) 231-5189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00339600 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1760148530
Jennifer Kristen Davenport, MS, LCADC, CCS's National Provider Identifier is 1760148530, issued on Nov 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cherry Hill, NJ. The record was last updated on Nov 16, 2021.