Sky D Davenport
Counselor, Mental Health in Brandon, MS. Individual provider (NPI-1).
NPI number1023747870
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1023747870
- Entity type
- Individual (NPI-1)
- Name
- Sky D Davenport
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2022
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
613 Marquette RdBrandon, MS 39042-3038
Phone 601-824-1692
Mailing address
Po Box 88Brandon, MS 39043-0088
Phone 601-824-1692
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