Justus Davenport
Justus Davenport is a Mental Health Counselor in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
6501 Broadway Ext Ste 180Oklahoma City, OK 73116-8239
Phone: (405) 607-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1053704775 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2015 |
| Last updated in NPPES | March 5, 2015 |
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