MR. Pete Kavanaugh, SUDRC15061
NPI #1649974759 in Clearlake Oaks, California
Provider Information
- NPI Number
- 1649974759
- Entity Type
- Individual
- Name
- MR. Pete Kavanaugh, SUDRC15061
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDRC15061
- Enumeration Date
- Mar 30, 2023
- Last Updated
- Mar 30, 2023
Practice Location
- Address
- 14715 EAST HWY 20
- City
- Clearlake Oaks
- State
- California
- ZIP Code
- 95423
- Phone
- (707) 998-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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