Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUSANNAH E KAVANAUGH, MA, LMHC, NCC
ActiveMRS. SUSANNAH E KAVANAUGH, MA, LMHC, NCC is a Professional Counselor healthcare provider located in MEDFIELD, Massachusetts. NPI 1790053080 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MEDFIELD, MA
Registration Details
- NPI Number
- 1790053080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2011 (14.677573731082 yrs)
- Last Updated
- Sep 20, 2016
- License
-
8720 (MA)
Practice Information
- Address
-
57 PHILIP STMEDFIELD, MA, 020522704Browse MA providers · Browse ZIP 02052
- Phone
- 5085664323
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.