MARLYN KELLOGG - NPI 1013415512 - Marriage & Family Therapist in San Diego, CA

Q: What is Marlyn Kellogg's NPI number?

The NPI number for Marlyn Kellogg is 1013415512. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Q: What is Marlyn Kellogg's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Marlyn Kellogg was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Marlyn Kellogg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLYN KELLOGG (NPI 1013415512) is an individual marriage & family therapist in San Diego, California, licensed in California (137092) and active in the NPI registry since January 2018. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1013415512

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARLYN KELLOGG

Location Address3594 4TH AVESan Diego, CA 92103-4940

Mailing Address3594 4th AveSan Diego, CA 92103-4940

Phone(619) 296-1151

Sole ProprietorNo

Enumeration DateJanuary 30, 2018

Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1013415512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 137092

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

3594 4TH AVE, San Diego, CA 92103

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Secondary Practice Location 1

Location 13539 College AveSan Diego, CA 92115-7032 · Phone (619) 818-3788

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AJA RENEE BORDONARO

Counselor (Addiction (Substance Use Disorder))