Individual
KASSANDRA KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
13045 FALCON DR, SUITE 100, BAXTER, MN 56425-4201
(218) 829-9307
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/06/2016
Last updated
11/06/2016
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