Individual
MR. DANIEL CRAIG KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 573-6624
Mailing address
2445 NW 32ND ST, OKLAHOMA CITY, OK 73112-7819
(405) 948-6980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
203
OK
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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