Individual provider · Type 1 NPI
Raquel Angela Kellicut, MA
Marriage & Family Therapist · Coeur D Alene, ID
Practice location
1420 Lincoln Way Ste 500
Coeur D Alene, ID 83814-2391
Fax (208) 665-5704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LCPC 137 (ID) |
| Counselor | 101Y00000X | LH00003616 (WA) |
| Marriage & Family Therapist | 106H00000X | LMFT 3069 (ID) |
| Marriage & Family Therapist Primary | 106H00000X | LF00000961 (WA) |
Marriage & Family Therapist: 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 ment…
Another provider at this address
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About NPI 1285642520
Raquel Angela Kellicut, MA's National Provider Identifier is 1285642520, issued on Aug 3, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Sep 11, 2025.