Individual
PATRICIA CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9961 CROSSPOINT BLVD # 100, INDIANAPOLIS, IN 46256-3391
(317) 585-1060
Mailing address
3603 WASHINGTON BLVD APT 102, INDIANAPOLIS, IN 46205-0098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004431A
IN
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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