Individual
DR. DUANE KELLOGG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
8 WAKEMAN RD, FAIRFIELD, CT 06824-5120
(203) 255-5078
Mailing address
8 WAKEMAN RD, FAIRFIELD, CT 06824-5120
(203) 255-5078
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
LP2116
ME
101YP2500X
Professional Counselor
Primary
001832
CT
Other
Enumeration date
08/05/2006
Last updated
07/16/2009
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