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Mrs. Raquel Angela Kellicut, MA
Marriage & Family Therapist in Coeur D Alene, Idaho
NPI 1285642520

Raquel Angela Kellicut is a Marriage & Family Therapist based in Coeur D Alene, ID. Raquel Angela Kellicut practices in Coeur D Alene, ID and has the professional credentials of MA. The NPI Number for Raquel Angela Kellicut is 1285642520 and holds a License No. LCPC 137 (Idaho).

The current practice location address for Raquel Angela Kellicut is 1420 Lincoln Way Ste 500, Coeur D Alene, ID and can be reached out via phone at 208-667-8474 and via fax at 208-665-5704.

Location: 1420 Lincoln Way Ste 500, Coeur D Alene, ID, 83814-2391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285642520
Provider Name
Raquel Angela Kellicut
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1420 Lincoln Way Ste 500, Coeur D Alene, ID, 83814-2391
Phone Number
208-667-8474
Fax Number
208-665-5704
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1420 Lincoln Way Ste 500
City
Coeur D Alene
State
Idaho
Zip
83814-2391
Phone Number
208-667-8474
Fax Number
208-665-5704
person
Provider Business Mailing Address Details
Address
1420 Lincoln Way Ste 500
City
Coeur D Alene
State
Idaho
Zip
83814-2391
Phone Number
208-667-8474
Fax Number
208-665-5704
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LH00003616 (Washington)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LCPC 137 (Idaho)
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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