MRS. CANDIDA DAVENPORT, LAC, LADC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1932138765
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 303356 (MN) |
Frequently Asked Questions
NPI 1932138765 is the National Provider Identifier for MRS. CANDIDA DAVENPORT, LAC, LADC, a Counselor - Addiction (Substance Use Disorder) provider located in Plymouth, MN. This NPI was enumerated on July 2, 2006.
MRS. CANDIDA DAVENPORT, LAC, LADC practices at 115 FORESTVIEW LN N, Plymouth, MN 55441.
Quick Facts
- NPI
- 1932138765
- Type
- Individual
- Enumerated
- Jul 2, 2006
- Last Updated
- Jun 24, 2013
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