Individual provider · Type 1 NPI

Tracey Kavanagh, LMHC

Counselor · Jacksonville, FL

NPI number 1184641052 Active

Practice location

1000 Riverside Ave Ste 312
Jacksonville, FL 32204-4174

Call (904) 318-2258 Map

Fax (904) 808-1472

Mailing address

196 Appian Ave
St. Augustine, FL 32092-0040

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XMH4678 (FL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1184641052

Tracey Kavanagh, LMHC's National Provider Identifier is 1184641052, issued on Jul 16, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 5, 2023.