Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY LYNNE CANAVAN, LCPC
ActiveMS. KELLY LYNNE CANAVAN, LCPC is a Mental Health Counselor healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1003221045 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1003221045
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2014 (12.108162179734 yrs)
- Last Updated
- Aug 17, 2023
- License
-
180.009124 (IL)
Practice Information
- Address
-
650 E TERRA COTTA AVENUEUNIT 103CRYSTAL LAKE, IL, 600143654Browse IL providers · Browse ZIP 60014
- Phone
- 8159792580
- Fax
- 8153543517
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in CRYSTAL LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| LINDA HNETYNKA GULLO | LCPC | 1639197858 |
| BARBARA E. EASTERDAY | MSW, LCSW | 1629085246 |
| CANDACE V SINCLAIR | LCPC | 1942395512 |
| MR. DAN K BLAIR | MA | 1891866141 |
| MR. RICHARD S ATWATER | LCPC | 1104012731 |
| KRISTINE PATRICIA KESTER | LCPC RDDP | 1689833410 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.