Bruce Davenport
Bruce Davenport is a Professional Counselor in Jefferson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2023
Practice location Address checks out
1820 Paul DrJefferson City, TN 37760-5229
Phone: (423) 312-4687
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence LPC0000000729 (TN) |
|---|
Record details
| NPI number | 1790552255 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 5, 2023 |
| Last updated in NPPES | December 5, 2023 |
| Certification date | December 5, 2023 |
| Mailing address | 1820 Paul Dr, Jefferson City, TN 37760-5229 |
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