location
search-icon
person
Christopher Lyle Ivan Kellogg, MA
Counselor in San Rafael, California
NPI 1588086045

Christopher Lyle Ivan Kellogg is a Counselor based in San Rafael, CA. Christopher Lyle Ivan Kellogg practices in San Rafael, CA and has the professional credentials of MA. The NPI Number for Christopher Lyle Ivan Kellogg is 1588086045 and holds a License No. (California).

The current practice location address for Christopher Lyle Ivan Kellogg is 1 Saint Vincents Dr, San Rafael, CA and can be reached out via phone at 415-507-4299 and via fax at 415-491-0842.

Location: 1 Saint Vincents Dr, San Rafael, CA, 94903-1504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588086045
Provider Name
Christopher Lyle Ivan Kellogg
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1 Saint Vincents Dr, San Rafael, CA, 94903-1504
Phone Number
415-507-4299
Fax Number
415-491-0842
Provider Enumeration Date
01/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Saint Vincents Dr
City
San Rafael
State
California
Zip
94903-1504
Phone Number
415-507-4299
Fax Number
415-491-0842
person
Provider Business Mailing Address Details
Address
1 Saint Vincents Dr
City
San Rafael
State
California
Zip
94903-1504
Phone Number
415-507-4299
Fax Number
415-491-0842
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.