Kavanaugh, Ian T

Kavanaugh, Ian T is an sole proprietor health care provider with primary practice located at 1600 E Olive St Sound Mental Health, Seattle WA 98122-2735. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Nutritionist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Kavanaugh, Ian T can be contacted via phone (206) 302-2200.

Contact Information

Primary practice address
1600 E Olive St Sound Mental Health Seattle WA 98122-2735
Phone: (206) 302-2200
Fax: (206) 302-2210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60331316 Washington
Dietary & Nutritional Service Providers / Nutritionist 133N00000X NU60187446 Washington

Profile Details

NPI number 1154580009
LBN Legal business name Kavanaugh, Ian T
Credentials M.S., LMHC, CN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2008
Last updated Apr 5th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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