Provider Demographics
NPI:1720215395
Name:MURPHY, KELCEE N (MA, LMHC, CADC)
Entity Type:Individual
Prefix:
First Name:KELCEE
Middle Name:N
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MA, LMHC, CADC
Other - Prefix:
Other - First Name:KELCEE
Other - Middle Name:N
Other - Last Name:FOSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC, CADC
Mailing Address - Street 1:3900 INGERSOLL AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-3535
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3900 INGERSOLL AVE STE 108
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-3535
Practice Address - Country:US
Practice Address - Phone:151-527-9620
Practice Address - Fax:515-279-4528
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA07104101YA0400X
IA001035101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)