person
Brendan Kellogg, BA
Peer Specialist in Ada, Oklahoma
NPI 1205223815

Brendan Kellogg is a Peer Specialist based in Ardmore, OK. Brendan Kellogg practices in Ada, OK and has the professional credentials of BA. The NPI Number for Brendan Kellogg is 1205223815 and holds a License No. (Oklahoma).

The current practice location address for Brendan Kellogg is 301 W 4Th St, Ada, OK and can be reached out via phone at 580-257-2444 and via fax at 580-257-2445.

Location: 301 W 4Th St, Ada, OK, 73402-0189
person
Provider Profile Details
NPI Number
1205223815
Provider Name
Brendan Kellogg
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
301 W 4Th St, Ada, OK, 73402-0189
Phone Number
580-257-2444
Fax Number
580-257-2445
Provider Enumeration Date
04/21/2015
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
301 W 4Th St
City
Ada
State
Zip
74820-3411
Phone Number
580-257-2444
Fax Number
580-257-2445
person
Provider Business Mailing Address Details
Address
301 W 4Th St
City
Ada
State
Zip
74820-3411
Phone Number
580-257-2444
Fax Number
580-257-2445
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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