MRS. LAURA KELLICUT, MA

Counselor - Professional

Active Individual
NPI: 1922181601

Practice Address

109 W WATAUGA AVE
Johnson City, TN 37604

Phone: (423) 232-2600

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Counselor - Professional 101YP2500X Yes LPC2799 (TN)

Frequently Asked Questions

NPI 1922181601 is the National Provider Identifier for MRS. LAURA KELLICUT, MA, a Counselor - Professional provider located in Johnson City, TN. This NPI was enumerated on October 24, 2006.
MRS. LAURA KELLICUT, MA practices at 109 W WATAUGA AVE, Johnson City, TN 37604.

Quick Facts

NPI
1922181601
Type
Individual
Enumerated
Oct 24, 2006
Last Updated
Mar 6, 2012

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