Individual provider · Type 1 NPI
Amber Lynn Fogarty, MA, LLPC
Professional Counselor · Portland, MI
NPI number
1710131990
Active
Practice location
8045 Meadowlane Dr
Portland, MI 48875-1911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | L1333791 (MI) |
| School Counselor | 101YS0200X | L1333791 (MI) |
Professional Counselor: Definition to come...
Other professional counselor providers in Portland
About NPI 1710131990
Amber Lynn Fogarty, MA, LLPC's National Provider Identifier is 1710131990, issued on Nov 14, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, MI. The record was last updated on Nov 14, 2008.