| Anaya Kellogg Lcsw Llc | |
|
1150 First Ave Ste 511 King Of Prussia PA 19406-1316 | |
| (310) 570-8549 | |
| Not Available |
| Full Name | Anaya Kellogg Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1150 First Ave Ste 511, King Of Prussia, Pennsylvania |
| Authorized Official Name and Position | Erika Anaya Kellogg (OWNER) |
| Authorized Official Contact | 3105708549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anaya Kellogg Lcsw Llc 1150 First Ave Ste 511 King Of Prussia PA 19406-1316 Ph: () - | Anaya Kellogg Lcsw Llc 1150 First Ave Ste 511 King Of Prussia PA 19406-1316 Ph: (310) 570-8549 |
| NPI Number | 1730770660 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Certification Date | 02/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730770660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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