National Provider Identifier
Magnolia Deloise Cavanaugh, LCDC
Magnolia Deloise Cavanaugh, LCDC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Austin, TX and a listed phone number of (512) 804-3517.
Source: public NPPES record, last updated September 04, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1588278667
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- September 04, 2020
- Last Updated
- September 04, 2020
Practice Location
- 1165 Airport Blvd
- Austin, TX 78702-3152
Phone: (512) 804-3517
Mailing Address
- 1430 Collier St
- Austin, TX 78704-2911
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Magnolia Cavanaugh is an Austin-based Licensed Chemical Dependency Counselor.
Full Record
- NPI
- 1588278667
- Entity Type
- Individual
- Last Name
- Cavanaugh
- First Name
- Magnolia
- Middle Name
- Deloise
- Name Prefix
- MS.
- Credential
- LCDC
- Mailing Street Address
- 1430 Collier St
- Mailing City
- Austin
- Mailing State
- TX
- Mailing ZIP Code
- 78704-2911
- Mailing Country
- US
- Mailing Phone
- (512) 472-4357
- Mailing Fax
- (512) 703-1394
- Practice Street Address
- 1165 Airport Blvd
- Practice City
- Austin
- Practice State
- TX
- Practice ZIP Code
- 78702-3152
- Practice Country
- US
- Practice Phone
- (512) 804-3517
- Enumeration Date
- September 04, 2020
- Last Updated
- September 04, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 04, 2020
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)