Individual provider · Type 1 NPI
Glen Fogle, CDCA
Addiction (Substance Use Disorder) Counselor · Fremont, OH
NPI number
1215380852
Active
Practice location
675 Bartson Rd
Fremont, OH 43420-9672
Mailing address
675 Bartson Road
Fremont, OH 43420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.954203-SR (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1215380852
Glen Fogle, CDCA's National Provider Identifier is 1215380852, issued on Jul 19, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fremont, OH. The record was last updated on Jul 19, 2016.