person
Shane Andrew Kavanaugh, MS,LMHC
Mental Health Counselor in Ames, Iowa
NPI 1356692792

Shane Andrew Kavanaugh is a Mental Health Counselor based in Ames, IA and is specialized in Mental Health. Shane Andrew Kavanaugh practices in Ames, IA and has the professional credentials of MS,LMHC. The NPI Number for Shane Andrew Kavanaugh is 1356692792 and holds a License No. 001560 (Iowa).

The current practice location address for Shane Andrew Kavanaugh is 125 S 3Rd St, Ames, IA and can be reached out via phone at 515-661-4210.

Location: 125 S 3Rd St, Ames, IA, 50010-7042
person
Provider Profile Details
NPI Number
1356692792
Provider Name
Shane Andrew Kavanaugh
Credential
MS,LMHC
Provider Entity Type
Individual
Gender
Male
Address
125 S 3Rd St, Ames, IA, 50010-7042
Phone Number
515-661-4210
Fax Number
Provider Enumeration Date
09/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
125 S 3Rd St
City
State
Zip
50010-7042
Phone Number
515-661-4210
Fax Number
person
Provider Business Mailing Address Details
Address
125 S 3Rd St
City
State
Zip
50010-7042
Phone Number
515-661-4210
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
001560 (Iowa)
Definition
Definition to come...
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