Individual
MRS. GENARA CAVENAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
501 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
(661) 328-0245
Mailing address
11210 RANCHO CORDOVA ST, BAKERSFIELD, CA 93311-9128
(661) 428-2216
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41363
CA
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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