person
James Joseph Cavanaugh, LADC
Addiction (Substance Use Disorder) Counselor in Minnetonka, Minnesota
NPI 1588120596

James Joseph Cavanaugh is an Addiction (Substance Use Disorder) Counselor based in Minnetonka, MN and is specialized in Addiction (Substance Use Disorder). James Joseph Cavanaugh practices in Minnetonka, MN and has the professional credentials of LADC. The NPI Number for James Joseph Cavanaugh is 1588120596 and holds a License No. 302366 (Minnesota).

The current practice location address for James Joseph Cavanaugh is 11900 Wayzata Blvd Ste 100, Minnetonka, MN and can be reached out via phone at 612-454-2058 and via fax at 952-546-1683.

Location: 11900 Wayzata Blvd Ste 100, Minnetonka, MN, 55305-2018
person
Provider Profile Details
NPI Number
1588120596
Provider Name
James Joseph Cavanaugh
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
11900 Wayzata Blvd Ste 100, Minnetonka, MN, 55305-2018
Phone Number
612-454-2058
Fax Number
952-546-1683
Provider Enumeration Date
02/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922448620 01 NPI
institution
Provider Business Practice Location Address Details
Address
11900 Wayzata Blvd Ste 100
City
State
Zip
55305-2018
Phone Number
612-454-2058
Fax Number
952-546-1683
person
Provider Business Mailing Address Details
Address
11900 Wayzata Blvd Ste 100
City
State
Zip
55305-2018
Phone Number
612-454-2058
Fax Number
952-546-1683
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302366 (Minnesota)
Definition
Definition to come...
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