Individual
MR. MICHAEL THOMAS KAVANAUGH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
915 8TH AVE N, NASHVILLE, TN 37208-2621
(615) 460-1260
Mailing address
3406 OAK CLIFF DR, NASHVILLE, TN 37214-2606
(615) 889-1152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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