SearchIllinoisMental Health Counselor

Ryan Kellog

NPI 1114556719 · on the registry since 2020

Practice

Address
111 W Washington St Ste 203
East Peoria, IL 61611
Phone
(309) 671-8060
Organisation at this address
Visidoc, Llc
Abc Counseling & Family Services
Tazwood Mental Health Center, Inc.
Tazwood Mental Health Center, Inc.
Tazewell County Resource Centers Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Sex
Male
Record last updated
2020-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois