Individual
MR. PATRICK JOSEPH CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
167 MAIN STREET, BRATTLEBORO, VT 05301
(802) 387-2300
Mailing address
369 DORSCH HL, WESTMINSTER WEST, VT 05346-9030
(802) 387-2300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000611
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009732
—
VT
Enumeration date
12/14/2011
Last updated
12/14/2011
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