Correna Davenport, MA. MFT, RC, CMHS
NPI #1568697456 in Tulalip, Washington
Provider Information
- NPI Number
- 1568697456
- Entity Type
- Individual
- Name
- Correna Davenport, MA. MFT, RC, CMHS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA. MFT, RC, CMHS
- Enumeration Date
- May 20, 2009
- Last Updated
- May 20, 2009
Practice Location
- Address
- 2828 MISSION HILL RD
- City
- Tulalip
- State
- Washington
- ZIP Code
- 98271-9706
- Phone
- (360) 716-4089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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