Individual provider · Type 1 NPI

Shane Andrew Kavanaugh, M.S., LMHC

Mental Health Counselor · Ames, IA

NPI number 1356692792 Active

Practice location

125 S 3rd St
Ames, IA 50010-7042

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001560 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1356692792

Shane Andrew Kavanaugh, M.S., LMHC's National Provider Identifier is 1356692792, issued on Sep 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ames, IA. The record was last updated on Mar 13, 2015.