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General NPI Number Information
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NPI Number | 1578074381
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Entity Type | Individual
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Provider Name | MELISSA CAVANAUGH LPC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 123 W 7TH ST STE 201H
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City | HANFORD
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State | CA
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Zip | 93230-4521
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Country | US
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Telephone | 337-257-4203
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Fax |
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Provider Business Mailing Address
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Address Line | 123 W 7TH ST STE 201H
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City | HANFORD
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State | CA
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Zip | 93230-4521
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Country | US
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Telephone | 337-257-4203
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC200002223
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC6962
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7552
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18189
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LH61322622
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License Number State | WA
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