Individual provider · Type 1 NPI

John Fogleman

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1801187588 Active

Practice location

440 Henderson St, Suite C
Grass Valley, CA 95945-7374

Call (530) 273-9541 Map

Fax (530) 273-7740

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801187588

John Fogleman's National Provider Identifier is 1801187588, issued on Apr 28, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on Apr 28, 2011.