| Bruce Davenport, | |
|
1820 Paul Dr, Jefferson City, TN 37760-5229 | |
| (423) 312-4687 | |
| Not Available |
| Full Name | Bruce Davenport |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1820 Paul Dr, Jefferson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790552255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC0000000729 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Davenport, 1820 Paul Dr, Jefferson City, TN 37760-5229 Ph: (423) 312-4687 | Bruce Davenport, 1820 Paul Dr, Jefferson City, TN 37760-5229 Ph: (423) 312-4687 |
Mr. Tanner Colin Yankey, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1526 Meadow Spring Dr, Jefferson City, TN 37760 Phone: 865-262-9098 | |
Meghan Lee Griffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Meadow Spring Dr, Jefferson City, TN 37760 Phone: 865-776-6761 | |
Dr. Mark Allan Heinrich, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 539 Cliff Lane, Jefferson City, TN 37760 Phone: 865-475-9176 | |
Morgan Ella Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Meadow Spring Dr, Jefferson City, TN 37760 Phone: 865-776-6761 | |
Dr. William Lafayette Blevins, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1646 Russell Ave, Baker 200, Jefferson City, TN 37760 Phone: 865-471-3274 | |
Ida Mae Boatman-goussios, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1413 Russell Ave, Jefferson City, TN 37760 Phone: 865-471-5525 | |
Erica Denise Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1526 Meadow Spring Dr, Jefferson City, TN 37760 Phone: 865-262-9098 Fax: 865-262-9103 |