Individual
ERIKA ANAYA KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3535 MARKET ST DEPT OF, PHILADELPHIA, PA 19104-3309
(215) 746-7976
Mailing address
4222 PINE ST, PHILADELPHIA, PA 19104-4011
(310) 570-8549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10525
PA
1041C0700X
Clinical Social Worker
Primary
CW019947
PA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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