Individual provider · Type 1 NPI

Crystal Louise Kavanaugh, LPE (PROVISIONAL)

Mental Health Counselor · Little Rock, AR

NPI number 1447380712 Active

Practice location

5905 Forest Pl
Little Rock, AR 72207-5244

Call (501) 666-4949 Map

Mailing address

PO Box 251970
Little Rock, AR 72225-1970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROVISIONAL (AR)

Mental Health Counselor: Definition to come...

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About NPI 1447380712

Crystal Louise Kavanaugh, LPE (PROVISIONAL)'s National Provider Identifier is 1447380712, issued on Mar 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little Rock, AR. The record was last updated on Jul 8, 2007.