Kellicut, Darwin Ray

Kellicut, Darwin Ray is an individual health care provider with primary practice located at 1420 Lincoln Way Ste 500 , Coeur D Alene ID 83814-2391. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kellicut, Darwin Ray can be contacted via phone (208) 667-8474.

Contact Information

Primary practice address
1420 Lincoln Way Ste 500 Coeur D Alene ID 83814-2391
Phone: (208) 667-8474
Fax: (208) 665-5704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 179 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00004911 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT 3089 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF00001127 Washington

Profile Details

NPI number 1417965781
LBN Legal business name Kellicut, Darwin Ray
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 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.

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