| Richard Davenport Ii, LMHC, LMSW | |
|
201 S Market St, Ottumwa, IA 52501-2924 | |
| (641) 683-5773 | |
| (641) 226-5759 |
| Full Name | Richard Davenport Ii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 201 S Market St, Ottumwa, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205276821 | NPI | - | NPPES |
| 1912952367 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 00358 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Davenport Ii, LMHC, LMSW 201 S Market St, Ottumwa, IA 52501-2924 Ph: (641) 683-5773 | Richard Davenport Ii, LMHC, LMSW 201 S Market St, Ottumwa, IA 52501-2924 Ph: (641) 683-5773 |
Mrs. Lori Lee Grim, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Bekki Jane Klodt, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 1117, Ottumwa, IA 52501 Phone: 641-243-5952 | |
Mrs. Suzette Kathryn Van Vark, LMHC, IADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Mark Gillman, BA, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Benjamin Lee Wyldes, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Joshua Huffine, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Hancock St, Ottumwa, IA 52501 Phone: 641-682-2800 Fax: 641-682-2826 | |
Mrs. Tiara Annette Perez, C.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St., Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 |