IndividualActive
Kelsey Lutz, MA, LPC
NPI 1366093775 · Behavior Technician · Gardner, IL
Provider details
- NPI number
- 1366093775
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
508 N Center St
Gardner, IL 60424-7054
Phone: (815) 252-1151
Approximate (ZIP-level) locationGet directions
Mailing address
508 N Center St
Gardner, IL 60424-7054
Registry dates
- Enumerated
- 2019-09-26
- Last updated
- 2023-03-29
- Certified
- 2020-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.