Individual
ANNALISE CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3941 68TH AVE N, PINELLAS PARK, FL 33781-6136
(850) 394-7665
Mailing address
3072 WATSON DR, MARIANNA, FL 32446-2204
(850) 394-7665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH24309
—
Other
Enumeration date
06/06/2022
Last updated
02/28/2025
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