Individual provider · Type 1 NPI
Abigayle Davenport
Addiction (Substance Use Disorder) Counselor · Las Vegas, NV
NPI number
1841594397
Active
Practice location
5659 Duncan Dr
Las Vegas, NV 89130-2811
Mailing address
3704 Austell St
Las Vegas, NV 89129-6453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1841594397
Abigayle Davenport's National Provider Identifier is 1841594397, issued on Dec 26, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 26, 2013.