Stephen Kavanagh, LMHC

NPI 1225362940 · on the registry since 2009 · sole proprietor

Practice

Address: 3215 Hendricks Ave
Suite 3
Jacksonville, FL 32207
Phone: (904) 240-2679
Fax: (904) 808-1472
Organisation at this address: Smile Aesthetics Dental Pa
Richard C. Mullens, Dds Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida