Annette Kennedy Kellogg, MED, LPC, NCC, RPT/S
Individual provider Active NPI Professional Counselor · West Monroe, LA
NPI 1881985372 · NPPES record last updated May 2, 2011
Key facts
- NPI
- 1881985372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3363 (LA)
- Practice address
- 1699 Strozier Rd
West Monroe, LA 71291-8236 - Phone
- (318) 381-4111
- Fax
- (318) 396-1004
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3363 | LA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3363 | LA | Yes |
Addresses
Primary practice location
1699 Strozier Rd
West Monroe, LA 71291-8236
Mailing address
1699 Strozier Rd
West Monroe, LA 71291-8236
Phone (318) 381-4111
Other providers in West Monroe, LA
- Joseph E Humble and Raymond Haik, PTRS
- Elizabeth Justice
- Laurel Kahl
- Karl J Kaufman
- Kellena Consultation LLC
- Ashley Kennedy
- Jeffery Kent
- Jennifer Kersey
- Kitty Kervin
- Shelby Sylvester Keyes
All providers in West Monroe, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.