SearchCalifornia170300000X

Grace Kavanaugh, CGC

NPI 1649944976 · on the registry since 2021

Practice

Address
838 Bancroft Way
Berkeley, CA 94710
Phone
(510) 333-5622

Registry record

Primary taxonomy
170300000X
170300000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-02

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 California