Individual provider · Type 1 NPI
Scott Paul Kavanagh, D. MIN.
Mental Health Counselor · Manlius, NY
NPI number
1538449285
Active
Practice location
4596 Brookhill Dr N
Manlius, NY 13104-2403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 002869 (NY) |
| Pastoral Counselor | 101YP1600X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1538449285
Scott Paul Kavanagh, D. MIN.'s National Provider Identifier is 1538449285, issued on Aug 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manlius, NY. The record was last updated on Aug 25, 2011.