Individual
AMY CATHERINE CACCAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
825 SPRINGDALE DR, EXTON, PA 19341-2843
(484) 565-8213
(484) 565-8219
Mailing address
142 SPARROW RIDGE CT, KENNETT SQUARE, PA 19348-4605
(484) 459-9812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC012819
PA
Other
Enumeration date
11/20/2020
Last updated
12/22/2021
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