Individual
MS. KELLY JEAN RAVENFEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED, LP, LMFT
Contact information
Practice address
230 E SUPERIOR ST STE 101, DULUTH, MN 55802-2104
(218) 726-5433
(218) 279-2844
Mailing address
230 E SUPERIOR ST STE 101, DULUTH, MN 55802-2104
(218) 726-5433
(218) 279-2844
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP1839
MN
1041C0700X
Clinical Social Worker
6878
MN
106H00000X
Marriage & Family Therapist
Primary
497
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21F85RA
BLUECROSS BLUESHIELD
MN
01
—
226395
MANAGED HEALTH NETWORK
MN
01
—
6235843
MEDICA, UBH, SELECT CARE
MN
01
—
HP35232
HEALTHPARTNERS
MN
Enumeration date
01/31/2007
Last updated
09/11/2025
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