RYAN KELLOG

Counselor - Mental Health

Active Individual
NPI: 1114556719

Practice Address

111 W WASHINGTON ST STE 203
East Peoria, IL 61611

Phone: (309) 671-8060

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1114556719 is the National Provider Identifier for RYAN KELLOG, a Counselor - Mental Health provider located in East Peoria, IL. This NPI was enumerated on April 6, 2020.
RYAN KELLOG practices at 111 W WASHINGTON ST STE 203, East Peoria, IL 61611.

Quick Facts

NPI
1114556719
Type
Individual
Enumerated
Apr 6, 2020
Last Updated
Apr 6, 2020

Nearby Providers