Individual
CAITLIN MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 POTRERO ST STE 42-101, SANTA CRUZ, CA 95060-2779
(831) 466-9307
(831) 466-9748
Mailing address
2115 7TH AVE, SANTA CRUZ, CA 95062-1663
(831) 420-0120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D3301742
DRIVER'S LICENSE
CA
Enumeration date
07/02/2018
Last updated
07/02/2018
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