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Individual

DR. LISA MARIE KAVANAGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4023 E HIDDENVIEW DR, PHOENIX, AZ 85048-7476
(480) 547-0416
Mailing address
4023 E HIDDENVIEW DR, PHOENIX, AZ 85048-7476
(480) 547-0416

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1700795
OH
101YM0800X
Mental Health Counselor
Primary
LPC-20221
AZ

Other

Enumeration date
11/09/2018
Last updated
10/12/2023
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