Individual provider · Type 1 NPI

Kassandra Kavanaugh, M.S.

Mental Health Counselor · Baxter, MN

NPI number 1922540111 Active

Practice location

13045 Falcon Dr, Suite 100
Baxter, MN 56425-4201

Mailing address

1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1922540111

Kassandra Kavanaugh, M.S.'s National Provider Identifier is 1922540111, issued on Nov 6, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baxter, MN. The record was last updated on Nov 6, 2016.