Individual provider · Type 1 NPI
Cindy Jo Kavanagh, CADC I, AS, QMHA
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1720265267
Active
Practice location
15610 SE Division St
Portland, OR 97236-2002
Fax (503) 760-7463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14-05-17U (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720265267
Cindy Jo Kavanagh, CADC I, AS, QMHA's National Provider Identifier is 1720265267, issued on Jan 28, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Mar 3, 2015.