Search › Illinois › 1041C0700X
Kelli Canada, LCSW
NPI 1336664705 · on the registry since 2017
Practice
- Address
- 911 Remington Rd Ste B
Mattoon, IL 61938 - Phone
- (217) 234-3091
- Fax
- (217) 543-2548
- Organisation at this address
- Southern Illinois Healthcare Foundation, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 700 Broadway Ave E Ste 39, Mattoon, IL
- 525 N Vine St, Arthur, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois