Individual
MRS. RENEE JENSEN CAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCSW, CADC II
Contact information
Practice address
176 LOWER WOODVILLE RD, NATCHEZ, MS 39120-4406
(601) 442-1707
(601) 442-3207
Mailing address
32 CEMETERY RD, NATCHEZ, MS 39120-2028
(601) 442-1707
(601) 442-3207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
90-007C
MS
1041C0700X
Clinical Social Worker
Primary
C6463
MS
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R562483
MS
163WP0808X
Psychiatric/Mental Health Registered Nurse
R562483
MS
Other
Enumeration date
05/22/2006
Last updated
03/05/2008
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