Individual
JAMES JOSEPH KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 243, EMILY, MN 56447-0243
(763) 234-2091
Mailing address
PO BOX 243, EMILY, MN 56447-0243
(763) 234-2091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305361
MN
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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