Ian T Kavanaugh is a Mental Health in Seattle, Washington. Ian T Kavanaugh practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Ian T Kavanaugh is 1154580009. The last update date is 2017-04-05.
Ian T Kavanaugh's current location address is 1600 E Olive St, Seattle, Washington. You can contact this provider via phone number 2063022200 and fax number 2063022210. The mailing address for Ian T Kavanaugh is 1600 E Olive St, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ian T Kavanaugh |
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Address | 1600 E Olive St, Seattle, Washington |
Phone Number | 2063022200 |
Fax Number | 2063022210 |
Sole Proprietor | Y |
Credentials | M.S., LMHC |
NPI Number Detail
NPI Number | 1154580009 |
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Provider Enumeration Date | 2008-06-05 |
Last Updated Date | 2017-04-05 |
Provider Mailing Address Detail
Address | 1600 E Olive St |
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City | Seattle |
State | Washington (WA) |
Post Code | 981222735 |
Phone Number | 2063022200 |
Fax Number | 2063022210 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | LH60331316 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Ian T Kavanaugh by the Centers for Medicare & Medicaid Services?
The Ian T Kavanaugh has been assigned the NPI (National Provider Identifier) 1154580009. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ian T Kavanaugh?
The Ian T Kavanaugh is physically situated at 1600 E Olive St, in the city of Seattle, state of WA, with the postal code 981222735.
What is Ian T Kavanaugh's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ian T Kavanaugh's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Ian T Kavanaugh receive the assignment of its 1154580009 from the Centers for Medicare & Medicaid Services?
The Ian T Kavanaugh was issued its 1154580009 by the Centers for Medicare & Medicaid Services on 2008-06-05.
As of what date were the Ian T Kavanaugh's details last updated?
The information pertaining to the Ian T Kavanaugh, including its address, specialty, and other details, was most recently updated on 2017-04-05.