person
Jonathan Cavanaugh
Professional Counselor in Blue Island, Illinois
NPI 1629374202

Jonathan Cavanaugh is a Professional Counselor based in Blue Island, IL and is specialized in Professional. Jonathan Cavanaugh practices in Blue Island, IL. The NPI Number for Jonathan Cavanaugh is 1629374202 and holds a License No. 180.008799 (Illinois).

The current practice location address for Jonathan Cavanaugh is 12145 Western Ave, Blue Island, IL and can be reached out via phone at 773-432-6236.

Location: 12145 Western Ave, Blue Island, IL, 60406-1387
person
Provider Profile Details
NPI Number
1629374202
Provider Name
Jonathan Cavanaugh
Credential
Provider Entity Type
Individual
Gender
Male
Address
12145 Western Ave, Blue Island, IL, 60406-1387
Phone Number
773-432-6236
Fax Number
Provider Enumeration Date
01/31/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12145 Western Ave
City
State
Zip
60406-1387
Phone Number
773-432-6236
Fax Number
person
Provider Business Mailing Address Details
Address
12145 Western Ave
City
State
Zip
60406-1387
Phone Number
773-432-6236
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.008799 (Illinois)
Definition
Definition to come...
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