person
Ms. Kelly Lynne Canavan, LCPC
Mental Health Counselor in Crystal Lake, Illinois
NPI 1003221045

Kelly Lynne Canavan is a Mental Health Counselor based in Crystal Lake, IL and is specialized in Mental Health. Kelly Lynne Canavan practices in Crystal Lake, IL and has the professional credentials of LCPC. The NPI Number for Kelly Lynne Canavan is 1003221045 and holds a License No. 180.009124 (Illinois).

The current practice location address for Kelly Lynne Canavan is 650 E Terra Cotta Avenue, Crystal Lake, IL and can be reached out via phone at 815-979-2580 and via fax at 815-354-3517.

Location: 650 E Terra Cotta Avenue, Crystal Lake, IL, 60014-3654
person
Provider Profile Details
NPI Number
1003221045
Provider Name
Kelly Lynne Canavan
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
650 E Terra Cotta Avenue, Crystal Lake, IL, 60014-3654
Phone Number
815-979-2580
Fax Number
815-354-3517
Provider Enumeration Date
06/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
650 E Terra Cotta Avenue
City
State
Zip
60014-3654
Phone Number
815-979-2580
Fax Number
815-354-3517
person
Provider Business Mailing Address Details
Address
650 E Terra Cotta Avenue
City
State
Zip
60014-3654
Phone Number
815-979-2580
Fax Number
815-354-3517
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.009124 (Illinois)
Definition
Definition to come...
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