Ian T Kavanaugh in Seattle - Mental Health

Ian T Kavanaugh - NPI 1154580009

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
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
Provider Enumeration Date 2008-06-05
Last Updated Date 2017-04-05

Provider Mailing Address Detail

Address 1600 E Olive St
City Seattle
State Washington (WA)
Post Code 981222735
Phone Number 2063022200
Fax Number 2063022210

Provider's Primary Taxonomy Detail

Speciality Mental Health
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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FAQs about Ian T Kavanaugh

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.

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