Individual provider · Type 1 NPI
Dominique A. Davenport
Mental Health Counselor · Fort Washington, MD
NPI number
1932929783
Active
Practice location
11700 Amer Ct
Fort Washington, MD 20744-5953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LGP15716 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1932929783
Dominique A. Davenport's National Provider Identifier is 1932929783, issued on Oct 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Washington, MD. The record was last updated on Oct 16, 2024.