Kavanaugh, Pete
Kavanaugh, Pete is an individual health care provider with primary practice located at 14715 East Hwy 20 , Clearlake Oaks CA 95423. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kavanaugh, Pete can be contacted via phone (707) 998-1800.Contact Information
Primary practice address
14715 East Hwy 20
Clearlake Oaks CA 95423
Phone: (707) 998-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | SUDRC15061 | California |
Profile Details
| NPI number | 1649974759 |
|---|---|
| LBN Legal business name | Kavanaugh, Pete |
| Credentials | SUDRC15061 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2023 |
| Last updated | Mar 30th, 2023 - about last year |
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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