person
Mr. Crystal Louise Kavanaugh, LPE(PROVISIONAL)
Mental Health Counselor in Little Rock, Arkansas
NPI 1447380712

Crystal Louise Kavanaugh is a Mental Health Counselor based in Little Rock, AR and is specialized in Mental Health. Crystal Louise Kavanaugh practices in Little Rock, AR and has the professional credentials of LPE(PROVISIONAL). The NPI Number for Crystal Louise Kavanaugh is 1447380712 and holds a License No. PROVISIONAL (Arkansas).

The current practice location address for Crystal Louise Kavanaugh is 5905 Forest Pl, Little Rock, AR and can be reached out via phone at 501-666-4949.

Location: 5905 Forest Pl, Little Rock, AR, 72225-1970
person
Provider Profile Details
NPI Number
1447380712
Provider Name
Crystal Louise Kavanaugh
Credential
LPE(PROVISIONAL)
Provider Entity Type
Individual
Gender
Female
Address
5905 Forest Pl, Little Rock, AR, 72225-1970
Phone Number
501-666-4949
Fax Number
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5905 Forest Pl
City
State
Zip
72207-5244
Phone Number
501-666-4949
Fax Number
person
Provider Business Mailing Address Details
Address
5905 Forest Pl
City
State
Zip
72207-5244
Phone Number
501-666-4949
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PROVISIONAL (Arkansas)
Definition
Definition to come...
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