Individual provider · Type 1 NPI

Ian T. Kavanaugh, M.S., LMHC, CN

Mental Health Counselor · Seattle, WA

NPI number 1154580009 Active

Practice location

1600 E Olive St, Sound Mental Health
Seattle, WA 98122-2735

Fax (206) 302-2210

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60331316 (WA)
Nutritionist 133N00000XNU60187446 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1154580009

Ian T. Kavanaugh, M.S., LMHC, CN's National Provider Identifier is 1154580009, issued on Jun 5, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Apr 5, 2017.