MRS. RAQUEL ANGELA KELLICUT MA NPI 1285642520

NPI Information

NPI: 1285642520
Provider Name: MRS. RAQUEL ANGELA KELLICUT, MA
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1420 LINCOLN WAY STE 500
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-8474
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MRS. Raquel Angela Kellicut, MA is a counselor in Coeur D Alene, ID. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Raquel Angela Kellicut, MA NPI is 1285642520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1420 LINCOLN WAY STE 500
COEUR D ALENE, ID
ZIP 83814-391
Phone: (208) 667-8474
Fax: (208) 665-5704

The enumeration date for this NPI number is 8/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	101Y00000X	Counselor	LCPC 137	IDAHO	Yes
2	101Y00000X	Counselor	LH00003616	WASHINGTON	X
3	106H00000X	Marriage & Family Therapist	LMFT 3069	IDAHO	X
4	106H00000X	Marriage & Family Therapist	LF00000961	WASHINGTON	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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