Individual provider · Type 1 NPI
Davina Kavanaugh, LLPC
Professional Counselor · Parchment, MI
NPI number
1295856110
Active
Practice location
148 N Riverview Dr
Parchment, MI 49004-1308
Fax (269) 226-0748
Mailing address
3718 Olney Rd
Kalamazoo, MI 49006-2863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401009378 (MI) |
Professional Counselor: Definition to come...
About NPI 1295856110
Davina Kavanaugh, LLPC's National Provider Identifier is 1295856110, issued on Apr 2, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Parchment, MI. The record was last updated on Oct 28, 2009.