Canavan, Kelly Lynne
Canavan, Kelly Lynne is an individual health care provider with primary practice located at 650 E Terra Cotta Avenue Unit 103, Crystal Lake IL 60014-3654. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Canavan, Kelly Lynne can be contacted via phone (815) 979-2580.Contact Information
Primary practice address
650 E Terra Cotta Avenue Unit 103
Crystal Lake IL 60014-3654
Phone: (815) 979-2580
Fax: (815) 354-3517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180.009124 | Illinois |
Profile Details
| NPI number | 1003221045 |
|---|---|
| LBN Legal business name | Canavan, Kelly Lynne |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2014 |
| Last updated | Aug 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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