Individual
GARY CAVINESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW, IADC
Contact information
Practice address
1900 GRAND AVE N, STE A, SPENCER, IA 51301-2022
(712) 262-2952
Mailing address
1900 GRAND AVE N, STE A, SPENCER, IA 51301-2200
(712) 262-2952
(712) 262-9098
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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