person
Mr. Pete Kavanaugh, SUDRC15061
Addiction (Substance Use Disorder) Counselor in Clearlake Oaks, California
NPI 1649974759

Pete Kavanaugh is an Addiction (Substance Use Disorder) Counselor based in Clearlake Oaks, CA and is specialized in Addiction (Substance Use Disorder). Pete Kavanaugh practices in Clearlake Oaks, CA and has the professional credentials of SUDRC15061. The NPI Number for Pete Kavanaugh is 1649974759 and holds a License No. SUDRC15061 (California).

The current practice location address for Pete Kavanaugh is 14715 East Hwy 20, Clearlake Oaks, CA and can be reached out via phone at 707-998-1800.

Location: 14715 East Hwy 20, Clearlake Oaks, CA, 95423-0366
person
Provider Profile Details
NPI Number
1649974759
Provider Name
Pete Kavanaugh
Credential
SUDRC15061
Provider Entity Type
Individual
Gender
Male
Address
14715 East Hwy 20, Clearlake Oaks, CA, 95423-0366
Phone Number
707-998-1800
Fax Number
Provider Enumeration Date
03/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14715 East Hwy 20
City
State
Zip
95423
Phone Number
707-998-1800
Fax Number
person
Provider Business Mailing Address Details
Address
14715 East Hwy 20
City
State
Zip
95423
Phone Number
707-998-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
SUDRC15061 (California)
Definition
Definition to come...
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