MISS Chasidy Colleen Summer Fogg, M.A. LLP LPC

NPI #1831214485 in Leslie, Michigan

Provider Information

NPI Number
1831214485
Entity Type
Individual
Name
MISS Chasidy Colleen Summer Fogg, M.A. LLP LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Counseling
Credential
M.A. LLP LPC
Enumeration Date
Mar 20, 2007
Last Updated
Dec 20, 2016

Practice Location

Address
4287 RACE RD
City
Leslie
ZIP Code
49251-9446
Phone
(517) 712-7204

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Psychologist - CounselingCounseling

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