| Doctor Name: | MS. KATHLEEN MARIE GAVIN |
| NPI Number: | 1063846137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCAT, ATR-BC |
| License Number: | 000755-1 |
| Business Practice Address: | 6339 Mill Street Rhinebeck, NY - 12572 |
| Business Phone Number: | 8458711000 |
| Business Fax Number: | |
| Mailing Address: | 98 Shufeldt St, KINGSTON |
| State: | NY |
| Postal Code: | 124014040 |
| Phone Number: | 8458711049 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2013 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 000755-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |