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Individual

MRS. LINDA M. KELLOGG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
622 FRONT ST, LOVINGSTON, VA 22949-0452
(434) 263-6080
(434) 263-6081
Mailing address
PO BOX 452, LOVINGSTON, VA 22949-0452
(434) 263-6080
(434) 263-6081

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003333
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020115
ANTHEM BC & BS
VA
05
020115
VA
01
2177055
CIGNA BEHAVIORAL HEALTH
VA
01
254011
COMPSYCH
VA
01
487480
VALUE OPTIONS
VA
01
O89709M
SENTARA HEALTH MANAGEMENT
VA
05
O89709M
VA
Enumeration date
01/24/2006
Last updated
07/09/2007
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