Individual provider · Type 1 NPI
Susan Buskill Fogg, LPC
Professional Counselor · Grundy, VA
NPI number
1477889111
Active
Practice location
19873 Riverside Drive
Grundy, VA 24614
Mailing address
PO Box 683
Pounding Mill, VA 24637-0683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701004695 (VA) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Grundy
About NPI 1477889111
Susan Buskill Fogg, LPC's National Provider Identifier is 1477889111, issued on Oct 31, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grundy, VA. The record was last updated on Feb 16, 2012.