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Individual

MR. DUANE J KAVANAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCMH, NCC, CCMHC

Contact information

Practice address
4447 S CANYON RD, RAPID CITY, SD 57702-1807
(605) 939-6700
Mailing address
4447 S CANYON RD, RAPID CITY, SD 57702-1807
(605) 939-6700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-MH2004
SD
101YM0800X
Mental Health Counselor
Primary
LPCMH2004
SD
101YM0800X
Mental Health Counselor
LSWA1015
SD

Other

Enumeration date
12/01/2006
Last updated
04/09/2025
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