Mr. Pete Kavanaugh, SUDRC15061
Mr. Pete Kavanaugh, SUDRC15061 is an Addiction (Substance Use Disorder) Counselor in Clearlake Oaks, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
14715 E Hwy 20Clearlake Oaks, CA 95423
Phone: (707) 998-1800
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence SUDRC15061 (CA) |
|---|
Record details
| NPI number | 1649974759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUDRC15061 |
| Sole proprietor | No |
| NPI enumerated | March 30, 2023 |
| Last updated in NPPES | March 30, 2023 |
| Certification date | March 27, 2023 |
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