Individual
KATELEEN JILL HOPE CAVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1669 YANKEE DOODLE RD APT 218, EAGAN, MN 55121-1778
(651) 227-5987
(651) 925-0302
Mailing address
1669 YANKEE DOODLE RD APT 218, EAGAN, MN 55121-1778
(651) 227-5987
(657) 925-0302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301140
MN
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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