Laura L Kellogg, LPC

NPI #1124140108 in Menasha, Wisconsin

Provider Information

NPI Number: 1124140108
Entity Type: Individual
Name: Laura L Kellogg, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Apr 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1095 MIDWAY RD
City: Menasha
State: Wisconsin
ZIP Code: 54952-1115
Phone: (920) 996-3298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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