Christopher Lyle Ivan Kellogg, MA is a counselor in San Rafael, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Christopher Lyle Ivan Kellogg, MA NPI is 1588086045. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1 SAINT VINCENTS DR
SAN RAFAEL, CA
ZIP 94903-504
Phone: (415) 507-4299
Fax: (415) 491-0842
The enumeration date for this NPI number is 1/16/2014 and was last updated on 1/16/2014.