Kelly Jean Ravenfeather is a Marriage & Family Therapist based in Duluth, MN. Kelly Jean Ravenfeather practices in Duluth, MN and has the professional credentials of MSED,LP,LMFT. The NPI Number for Kelly Jean Ravenfeather is 1013054642 and holds a License No. LP1839 (Minnesota).
The current practice location address for Kelly Jean Ravenfeather is 230 E Superior St Ste 101, Duluth, MN and can be reached out via phone at 218-726-5433 and via fax at 218-279-2844.
Location: 230 E Superior St Ste 101, Duluth, MN, 55802-2104
Provider Profile Details
NPI Number
1013054642
Provider Name
Kelly Jean Ravenfeather
Credential
MSED,LP,LMFT
Provider Entity Type
Individual
Gender
Female
Address
230 E Superior St Ste 101, Duluth, MN, 55802-2104
Phone Number
218-726-5433
Fax Number
218-279-2844
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP35232 | 01 | MN | HEALTHPARTNERS |
| 226395 | 01 | MN | MANAGED HEALTH NETWORK |
| 6235843 | 01 | MN | MEDICA, UBH, SELECT CARE |
| 21F85RA | 01 | MN | BLUECROSS BLUESHIELD |
Provider Business Practice Location Address Details
Address
230 E Superior St Ste 101
City
State
Zip
55802-2104
Phone Number
218-726-5433
Fax Number
218-279-2844
Provider Business Mailing Address Details
Address
230 E Superior St Ste 101
City
State
Zip
55802-2104
Phone Number
218-726-5433
Fax Number
218-279-2844
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
497 (Minnesota)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
6878 (Minnesota)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
LP1839 (Minnesota)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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