Individual provider · Type 1 NPI
Pete Kavanaugh, SUDRC15061
Addiction (Substance Use Disorder) Counselor · Clearlake Oaks, CA
NPI number
1649974759
Active
Practice location
14715 East Hwy 20
Clearlake Oaks, CA 95423
Mailing address
PO Box 366
Clearlake Oaks, CA 95423-0366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | SUDRC15061 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
Other addiction (substance use disorder) counselor providers in Clearlake Oaks
- Heather Sue GerberAddiction (Substance Use Disorder) Counselor Clearlake Oaks, CA NPI 1093409328
- John Phillip SheridanAddiction (Substance Use Disorder) Counselor Clearlake Oaks, CA NPI 1316604218
- Rikki Irie RuizAddiction (Substance Use Disorder) Counselor Clearlake Oaks, CA NPI 1336863158
- Sean SullivanAddiction (Substance Use Disorder) Counselor Clearlake Oaks, CA NPI 1356049191
- Heather Connors Herbert, SUDRCAddiction (Substance Use Disorder) Counselor Clearlake Oaks, CA NPI 1386360782
- Patrick Steven PearmainAddiction (Substance Use Disorder) Counselor Clearlake Oaks, CA NPI 1457237349
- Cierra Elizabeth Canfield, SUDRCIAddiction (Substance Use Disorder) Counselor Clearlake Oaks, CA NPI 1639038102
- Christopher William ClineAddiction (Substance Use Disorder) Counselor Clearlake Oaks, CA NPI 1679351399
About NPI 1649974759
Pete Kavanaugh, SUDRC15061's National Provider Identifier is 1649974759, issued on Mar 30, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake Oaks, CA. The record was last updated on Mar 30, 2023.