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Jonathan Cavanaugh
NPI 1629374202 · on the registry since 2011
Practice
- Address
- 12145 Western Ave
Blue Island, IL 60406 - Phone
- (773) 432-6236
- Organisation at this address
- The Thresholds
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-23
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 Illinois