Raquel Angela Kellicut, MA
Marriage & Family Therapist in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1285642520
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1285642520
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Raquel Angela Kellicut
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF00000961 | WA | Yes |
| 101Y00000X | Counselor | LCPC 137 | ID | |
| 101Y00000X | Counselor | LH00003616 | WA | |
| 106H00000X | Marriage & Family Therapist | LMFT 3069 | ID |
Practice location
1420 Lincoln Way Ste 500Coeur D Alene, ID 83814-2391
Phone 208-667-8474 · Fax 208-665-5704
Mailing address
1420 Lincoln Way Ste 500Coeur D Alene, ID 83814-2391
Phone 208-667-8474 · Fax 208-665-5704
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All 46 Marriage & Family Therapist providers in Coeur D Alene · All 2,988 providers in Coeur D Alene
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