Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Davenport

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1457190951

Robert Davenport is an Addiction (Substance Use Disorder) Counselor in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
Specialties on file
2

Practice location Address checks out

420 S 4th Ave
Pocatello, ID 83201-6404
Phone: (208) 478-9081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9261605 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LPC10498 (ID)

Record details

NPI number1457190951
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2024
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address420 S 4th Ave, Pocatello, ID 83201-6404

Other providers in Pocatello