Kelly Lynne Canavan, LCPC Valid NPI

Individual provider · Mental Health Counselor · Crystal Lake, IL

NPI

1003221045

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

180.009124 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2014-06-28

Last updated

2023-08-17