MONTGOMERY S DAVENPORT

SAN DIEGO, CA
NPI1194085282
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: MI  6401011388)
Enumeration Date2012-05-22
Last Update Date2015-07-08
Business Address
-- MONTGOMERY S DAVENPORT LPC
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
Mailing Address
-- MONTGOMERY S DAVENPORT LPC
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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