Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Grace Lee Kavanaugh, CGC

Individual provider Genetic Counselor (M.S.) · NPI 1649944976

Mrs. Grace Lee Kavanaugh, CGC is a Genetic Counselor (M.S.) in Berkeley, California. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021
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Practice location Address checks out

838 Bancroft Way
Berkeley, CA 94710-2236
Phone: (510) 333-5622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Genetic Counselor (M.S.) (primary) Taxonomy 170300000X · Licence GC0000000413 (TN)

Record details

NPI number1649944976
Entity typeIndividual (Type 1)
GenderFemale
Credentials CGC
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021

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