Individual provider · Type 1 NPI
Laura Ann Kellicut, PhD
Mental Health Counselor · Portage, MI
NPI number
1922181601
Active
Practice location
8424 Oakside St
Portage, MI 49002-5712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401014206 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1922181601
Laura Ann Kellicut, PhD's National Provider Identifier is 1922181601, issued on Oct 24, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portage, MI. The record was last updated on Oct 7, 2026.