Individual
ANNE EDITH KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
135 E E ST, JACKSONVILLE, OR 97530-9246
(855) 343-6012
Mailing address
175 N OREGON ST, #1004, JACKSONVILLE, OR 97530-9797
(855) 343-6012
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0600
OR
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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