Lori Lynn Davenport, LPC
Counselor, Professional in Payson, AZ. Individual provider (NPI-1).
NPI number1689171654
StatusActive
Last updated in NPPESMar 13, 2021
Details
- NPI
- 1689171654
- Entity type
- Individual (NPI-1)
- Name
- Lori Lynn Davenport
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2018
- Certification date
- Mar 13, 2021
- Last updated
- Mar 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC-17175 | AZ | Yes |
Practice location
901 E Park DrPayson, AZ 85541-4442
Phone 928-970-1027
Mailing address
901 E Park DrPayson, AZ 85541-4442
Phone 928-970-1027
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