Mr. Crystal Louise Kavanaugh, LPEPROVISIONAL
Mr. Crystal Louise Kavanaugh, LPEPROVISIONAL is a Mental Health Counselor in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.
- Licensed in
- AR
- In the registry since
- 2007
Practice location Address checks out
5905 Forest PlLittle Rock, AR 72207-5244
Phone: (501) 666-4949
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PROVISIONAL (AR) |
|---|
Record details
| NPI number | 1447380712 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPEPROVISIONAL |
| Sole proprietor | No |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
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