Individual
MONIQUE KAYLEE KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 CUMING ST, OMAHA, NE 68131-2000
(531) 299-0220
Mailing address
849 N 75TH ST, OMAHA, NE 68114-3125
(402) 639-4982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
16323812
NE
Other
Enumeration date
10/17/2024
Last updated
04/02/2026
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