Individual provider · Type 1 NPI

Denise Ellen Fogelstrom, LPC

Professional Counselor · Mesa, AZ

NPI number 1316009343 Active

Practice location

4250 E Florian Ave, Building 1
Mesa, AZ 85206

Fax (480) 539-4947

Mailing address

2232 E Nisbet Rd
Phoenix, AZ 85022-4040

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-1484 (AZ)

Professional Counselor: Definition to come...

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About NPI 1316009343

Denise Ellen Fogelstrom, LPC's National Provider Identifier is 1316009343, issued on Dec 15, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mesa, AZ. The record was last updated on Jul 8, 2007.