# DR. LISA M KELLOGG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396026431
- **Gender:** F
- **Credential:** LPC, LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 0701010706 | VA | — |
| 101Y00000X | Counselor | P2011105 | AR | — |
| 101YM0800X | Mental Health Counselor | 2013014601 | MO | — |
| 106H00000X | Marriage & Family Therapist | 0717001833 | VA | Yes |
| 106H00000X | Marriage & Family Therapist | LCM991 | MD | — |

## Other

- **Enumeration date:** 09/02/2011
- **Last updated:** 03/17/2026
