Mrs. Candida Amber Davenport is a Plymouth, Minnesota based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Mrs. Candida Amber Davenport is 303356 for Addiction (Substance Use Disorder) Counselor in Minnesota. Her current practice location is 115 Forestview Ln N, Plymouth. Patients can book an appointment with her at 763-546-8008.
Mrs. Candida Amber Davenport is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Mrs. Candida Amber Davenport speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mrs. Candida Amber Davenport
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
LAC, LADC
Accepts Medicare Assignment:
No
Practice Address:
115 Forestview Ln N, Plymouth, Minnesota, 55441-5910
Phone:
763-546-8008
Fax:
763-546-7674
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1932138765
NPI Enumeration Date:
02 Jul, 2006
NPI Last Update On:
24 Jun, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Candida Amber Davenport are as mentioned below.
License Number
Specialization
State
Status
303356
Addiction (Substance Use Disorder) Counselor
Minnesota
Primary
1492
Addiction (Substance Use Disorder) Counselor
North Dakota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Candida Amber Davenport such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
92OS7KI
Other
Minnesota
BCBS MN PROVIDER NUMBER
054519
Medicaid
North Dakota
022581
Other
North Dakota
BCBS ND PROVIDER NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
115 Forestview Ln N, Plymouth, Minnesota
Zip:
55441-5910
Phone Number:
763-546-8008
Fax Number:
763-546-7674
Patients can reach Mrs. Candida Amber Davenport at 115 Forestview Ln N, Plymouth, Minnesota or can call to book an appointment on 763-546-8008. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.