Individual
DANIEL E KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC - R
Contact information
Practice address
720 NW 6TH ST, GRANTS PASS, OR 97526-1524
(541) 955-9227
(541) 734-2410
Mailing address
720 NW 6TH ST, GRANTS PASS, OR 97526-1524
(541) 955-9227
(541) 734-2410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/20/2015
Last updated
03/09/2023
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