Provider Demographics
NPI:1386236115
Name:GARNER, DAVONNE JENIER (LPC)
Entity type:Individual
Prefix:
First Name:DAVONNE
Middle Name:JENIER
Last Name:GARNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 PROFESSIONAL RD STE 3
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3213
Mailing Address - Country:US
Mailing Address - Phone:804-539-7316
Mailing Address - Fax:804-918-6259
Practice Address - Street 1:2540 PROFESSIONAL RD STE 3
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-3213
Practice Address - Country:US
Practice Address - Phone:804-539-7316
Practice Address - Fax:804-918-6259
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704011427101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0704011427OtherLICENSE NUMBER