Individual
DAVINA KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
148 N RIVERVIEW DR, PARCHMENT, MI 49004-1308
(269) 344-0747
(269) 226-0748
Mailing address
3718 OLNEY RD, KALAMAZOO, MI 49006-2863
(269) 344-0747
(269) 226-0748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009378
MI
Other
Enumeration date
04/02/2007
Last updated
10/28/2009
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