Individual
GRACE MORGAN KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
133 KEYBRIDGE DR, MORRISVILLE, NC 27560-5915
(919) 737-5938
Mailing address
419 WARREN AVE, CARY, NC 27511-4062
(919) 737-5938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17603
NC
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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