Individual
MR. JOHN KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
404 RIVERSIDE DR APT 11A, NEW YORK, NY 10025-1861
(212) 663-7458
Mailing address
404 RIVERSIDE DR APT 11A, NEW YORK, NY 10025-1861
(212) 663-7458
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R014353-1
NY
Other
Enumeration date
03/15/2007
Last updated
10/20/2011
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