person
Kathryn Anne Kellogg
Mental Health Counselor in South Pasadena, California
NPI 1467966564

Kathryn Anne Kellogg is a Mental Health Counselor based in South Pasadena, CA and is specialized in Mental Health. Kathryn Anne Kellogg practices in South Pasadena, CA. The NPI Number for Kathryn Anne Kellogg is 1467966564 and holds a License No. IMF103022 (California).

The current practice location address for Kathryn Anne Kellogg is 205 Pasadena Ave, South Pasadena, CA and can be reached out via phone at 323-344-5536.

Location: 205 Pasadena Ave, South Pasadena, CA, 91030-2919
person
Provider Profile Details
NPI Number
1467966564
Provider Name
Kathryn Anne Kellogg
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 Pasadena Ave, South Pasadena, CA, 91030-2919
Phone Number
323-344-5536
Fax Number
Provider Enumeration Date
11/28/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7184 01 CA MEDI-CAL
7667 01 CA MEDI-CAL
7708 01 CA MEDI-CAL
7368 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
205 Pasadena Ave
City
State
Zip
91030-2919
Phone Number
323-344-5536
Fax Number
person
Provider Business Mailing Address Details
Address
205 Pasadena Ave
City
State
Zip
91030-2919
Phone Number
323-344-5536
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMF103022 (California)
Definition
Definition to come...
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