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Individual
COURTNEY MAXWELL CAVALL
Active
Individual
COURTNEY MAXWELL CAVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LHMC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024451900
MEDICAID 907 - SPECIALIZED THERAPEUTIC SERVICE.
FL
01
—
024475500
MEDICAID-39-BEHAVIOR ANALYSIS.
FL
Enumeration date
08/26/2010
Last updated
01/14/2021
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