NPI | 1316236391 |
---|---|
Doing Business As | DAVENPORT COUNSELING ASSOCIATES, LLC |
Entity Type | Organization |
Authorized Contact | MELINDA NABORS DAVENPORT President 610-737-6507 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC000979) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW002402L) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2011-03-30 |