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Mrs. Laura Ann Kellicut, MA
Professional Counselor in Johnson City, Tennessee
NPI 1922181601

Laura Ann Kellicut is a Professional Counselor based in Gray, TN and is specialized in Professional. Laura Ann Kellicut practices in Johnson City, TN and has the professional credentials of MA. The NPI Number for Laura Ann Kellicut is 1922181601 and holds a License No. (Tennessee).

The current practice location address for Laura Ann Kellicut is 109 W Watauga Ave, Johnson City, TN and can be reached out via phone at 423-232-2600 and via fax at 423-467-3644. You can also correspond with Laura Ann Kellicut through the mailing address at PO BOX 9054, GRAY, TN - 37615-9054 (mailing address contact number: 423-467-3600).

Location: 109 W Watauga Ave, Johnson City, TN, 37615-9054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922181601
Provider Name
Laura Ann Kellicut
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
109 W Watauga Ave, Johnson City, TN, 37615-9054
Phone Number
423-232-2600
Fax Number
423-467-3644
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
109 W Watauga Ave
City
Johnson City
State
Tennessee
Zip
37604-5621
Phone Number
423-232-2600
Fax Number
423-467-3644
person
Provider Business Mailing Address Details
Address
Po Box 9054
City
Gray
State
Tennessee
Zip
37615-9054
Phone Number
423-467-3600
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC2799 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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