NATHANAEL JOHN KAVENIK

GRASS VALLEY, CA
NPI1063285690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
NATHANAEL JOHN KAVENIK BA
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-273-2244
Mailing Address
NATHANAEL JOHN KAVENIK BA
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-273-2244