Ted Cavanaugh

NPI #1689119026 in Hines, Oregon

Provider Information

NPI Number: 1689119026
Entity Type: Individual
Name: Ted Cavanaugh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 20, 2016
Last Updated: Dec 20, 2016

Practice Location

Address: 120 S ROANOKE AVE
City: Hines
State: Oregon
ZIP Code: 97738-2576
Phone: (541) 573-1780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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