Individual provider · Type 1 NPI

Jordan Kelsey Davenport

Mental Health Counselor · West Caldwell, NJ

NPI number 1801600093 Active

Practice location

1120 Bloomfield Ave Ste 200
West Caldwell, NJ 07006-7131

Call (453) 080-8973 Map

Mailing address

3232D Coghlan Rd
Dover, NJ 07801-5738

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801600093

Jordan Kelsey Davenport's National Provider Identifier is 1801600093, issued on Feb 6, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Caldwell, NJ. The record was last updated on Feb 6, 2025.