Mitchell K Davenport, LCPC is a mental health counselor in Rockford, IL. Mitchell K Davenport, LCPC NPI is 1750461646. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
526 W STATE STREET
ROCKFORD, IL
ZIP 61101-214
Phone: (815) 968-9300
Fax: (815) 968-5314
The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/8/2007.