Kellogg, Lisa M

Kellogg, Lisa M is an individual health care provider with primary practice located at 1450 E 10Th St , Rolla MO 65401-3648. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kellogg, Lisa M can be contacted via phone (888) 403-1071.

Contact Information

Primary practice address
1450 E 10Th St Rolla MO 65401-3648
Phone: (888) 403-1071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2016002088 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2013014601 Missouri

Profile Details

NPI number 1396026431
LBN Legal business name Kellogg, Lisa M
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2011
Last updated Jun 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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