Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY DAVENPORT, LAC
ActiveJERRY DAVENPORT, LAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GIRARD, Kansas. NPI 1043579725 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GIRARD, KS
Registration Details
- NPI Number
- 1043579725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2012 (14.105821765066 yrs)
- Last Updated
- May 15, 2012
- License
-
461 (KS)
Practice Information
- Address
-
810 CEDAR STGIRARD, KS, 667432056Browse KS providers · Browse ZIP 66743
- Phone
- 6207248806
- Fax
- 6207246170
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in GIRARD, KS
| Name | Credential | NPI |
|---|---|---|
| BOB BANKS | APPS COUNSELOR | 1477754034 |
| SHARON CARPINO | LAC | 1962761932 |
| PATRICK LACKAMP | LAC | 1023377785 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.