Individual
CHRISTINA M KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13045 FALCON DR STE 100, BAXTER, MN 56425-4201
(218) 251-5003
Mailing address
13045 FALCON DR STE 100, BAXTER, MN 56425-4201
(218) 251-5003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MN
101YS0200X
School Counselor
404973
MN
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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