JONATHAN CAVANAUGH
Counselor - Professional
Active
Individual
NPI: 1629374202
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 180.008799 (IL) |
Frequently Asked Questions
NPI 1629374202 is the National Provider Identifier for JONATHAN CAVANAUGH, a Counselor - Professional provider located in Blue Island, IL. This NPI was enumerated on January 31, 2011.
JONATHAN CAVANAUGH practices at 12145 WESTERN AVE, Blue Island, IL 60406.
Quick Facts
- NPI
- 1629374202
- Type
- Individual
- Enumerated
- Jan 31, 2011
- Last Updated
- Dec 23, 2014
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