Ravenfeather, Kelly Jean

Ravenfeather, Kelly Jean is an sole proprietor health care provider with primary practice located at 230 E Superior St Ste 101 , Duluth MN 55802-2104. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Ravenfeather, Kelly Jean can be contacted via phone (218) 726-5433.

Contact Information

Primary practice address
230 E Superior St Ste 101 Duluth MN 55802-2104
Phone: (218) 726-5433
Fax: (218) 279-2844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1839 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6878 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 497 Minnesota

Profile Details

NPI number 1013054642
LBN Legal business name Ravenfeather, Kelly Jean
Credentials MS ED, LP, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013054642 NPPES
Minnesota Other HP35232 HEALTHPARTNERS
Minnesota Other 226395 HEALTHPARTNERS
Minnesota Other 6235843 HEALTHPARTNERS
Minnesota Other 21F85RA HEALTHPARTNERS

Popular Providers