Individual
KELSEY LENNERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
2101 SPRUCE STREET, NORTH COLLINS, NY 14111
(716) 337-3706
Mailing address
2101 SPRUCE STREET, NORTH COLLINS, NY 14111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34257
NY
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
04/09/2021
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