Individual
KELSEY LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
508 N CENTER ST, GARDNER, IL 60424-7054
(815) 252-1151
Mailing address
508 N CENTER ST, GARDNER, IL 60424-7054
(815) 252-1151
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
03/29/2023
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