Individual provider · Type 1 NPI

Kelly Lynne Canavan, LCPC

Mental Health Counselor · Crystal Lake, IL

NPI number 1003221045 Active

Practice location

650 E Terra Cotta Avenue, Unit 103
Crystal Lake, IL 60014-3654

Call (815) 979-2580 Map

Fax (815) 354-3517

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.009124 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1003221045

Kelly Lynne Canavan, LCPC's National Provider Identifier is 1003221045, issued on Jun 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crystal Lake, IL. The record was last updated on Aug 17, 2023.