Kelly L Lenz, A.T.R.

NPI #1104141688 in Peoria, Illinois

Provider Information

NPI Number
1104141688
Entity Type
Individual
Name
Kelly L Lenz, A.T.R.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
A.T.R.
Enumeration Date
Mar 29, 2010
Last Updated
Mar 29, 2010

Practice Location

Address
2603 S HIGH MEADOW DR
City
Peoria
ZIP Code
61607-1415
Phone
(309) 256-6981

Specialties & Taxonomy Codes

Specialty
Counselor

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