Individual
MRS. ANNA WESCOTT CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
9330 59TH AVENUE SOUTHWEST, LAKEWOOD, WA 98499
(253) 620-5015
(253) 620-5831
Mailing address
9330 59TH AVENUE SOUTHWEST, LAKEWOOD, WA 98499
(253) 620-5015
(253) 620-5831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60262599
WA
101YM0800X
Mental Health Counselor
Primary
CG60137186
WA
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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