Individual provider · Type 1 NPI

Alex D. Kellogg

Mental Health Counselor · Fort Wayne, IN

NPI number 1629535034 Active

Practice location

2100 Goshen Rd
Fort Wayne, IN 46808-1493

Call (260) 471-3500 Map

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629535034

Alex D. Kellogg's National Provider Identifier is 1629535034, issued on Feb 22, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 22, 2019.