Individual provider · Type 1 NPI

Jane Ellen Kellogg, MA, LPC

Mental Health Counselor · Boulder, CO

NPI number 1932256534 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Call (720) 406-3616 Map

Mailing address

3746 Eldorado Springs Dr
Boulder, CO 80303-9605

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC 1538 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1932256534

Jane Ellen Kellogg, MA, LPC's National Provider Identifier is 1932256534, issued on Jan 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.