| Mrs Candida Amber Davenport, LAC, LADC | |
|
115 Forestview Ln N, Plymouth, MN 55441-5910 | |
| (763) 546-8008 | |
| (763) 546-7674 |
| Full Name | Mrs Candida Amber Davenport |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 115 Forestview Ln N, Plymouth, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932138765 | NPI | - | NPPES |
| 92OS7KI | Other | MN | BCBS MN PROVIDER NUMBER |
| 054519 | Medicaid | ND | |
| 022581 | Other | ND | BCBS ND PROVIDER NUMBER |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Candida Amber Davenport, LAC, LADC 115 Forestview Ln N, Plymouth, MN 55441-5910 Ph: (763) 546-8008 | Mrs Candida Amber Davenport, LAC, LADC 115 Forestview Ln N, Plymouth, MN 55441-5910 Ph: (763) 546-8008 |
Jesse Inderlee, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13895 Industrial Park Blvd, Plymouth, MN 55441 Phone: 763-559-5677 | |
Lauris J Prinsen, L.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12805 Highway 55, Suite 211, Plymouth, MN 55441 Phone: 763-550-9005 Fax: 763-559-2118 | |
Ms. Jane F Wilka-pauly, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13895 Industrial Park Blvd, Plymouth, MN 55441 Phone: 763-559-5677 Fax: 763-559-2116 | |
Jessica Sklar, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19095 51st Pl N, Plymouth, MN 55446 Phone: 952-212-1330 | |
Luke Morken, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10000 Hwy 55 Ste 300, Plymouth, MN 55441 Phone: 763-412-0722 | |
Emily Cross, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Forestview Ln N, Plymouth, MN 55441 Phone: 763-546-8008 | |
Mrs. Melody Joy Richards, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13210 45th Ave North, Plymouth, MN 55442 Phone: 612-616-0224 Fax: 612-616-0224 |