Kellicut, Laura Ann

Kellicut, Laura Ann is an individual health care provider with primary practice located at 109 W Watauga Ave , Johnson City TN 37604-5621. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kellicut, Laura Ann can be contacted via phone (423) 232-2600.

Contact Information

Primary practice address
109 W Watauga Ave Johnson City TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 467-3644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC2799 Tennessee

Profile Details

NPI number 1922181601
LBN Legal business name Kellicut, Laura Ann
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Mar 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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