National Provider Identifier
Kelsey Krueger Cannan, LMHC
Kelsey Krueger Cannan, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Fairport, NY and a listed phone number of (585) 690-7501.
Profile Overview
- NPI
- 1942794151
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 20, 2018
- Last Updated
- June 29, 2023
Practice Location
- 21 Gentian Way
- Fairport, NY 14450-9210
Phone: (585) 690-7501
Specialties
- Mental Health Counselor (101YM0800X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1942794151
- Entity Type
- Individual
- Last Name
- Cannan
- First Name
- Kelsey
- Middle Name
- Krueger
- Credential
- LMHC
- Provider Other Last Name
- Krueger
- Provider Other First Name
- Kelsey
- Provider Other Middle Name
- M
- Provider Other Credential Text
- LMHC
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 21 Gentian Way
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9210
- Mailing Country
- US
- Mailing Phone
- (585) 690-7501
- Practice Street Address
- 21 Gentian Way
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-9210
- Practice Country
- US
- Practice Phone
- (585) 690-7501
- Enumeration Date
- June 20, 2018
- Last Updated
- June 29, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Mental Health Counselor (101YM0800X)