Individual
CANDICE MARIE CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
57675 29 PALMS HWY STE 104, YUCCA VALLEY, CA 92284-3099
(760) 365-1470
Mailing address
PO BOX 894, YUCCA VALLEY, CA 92286-0894
(909) 480-6566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
135264
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/28/2019
Last updated
04/18/2026
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