Fogg, Chasidy Colleen Summer

Fogg, Chasidy Colleen Summer is an sole proprietor health care provider with primary practice located at 4287 Race Rd , Leslie MI 49251-9446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Fogg, Chasidy Colleen Summer can be contacted via phone (517) 712-7204.

Contact Information

Primary practice address
4287 Race Rd Leslie MI 49251-9446
Phone: (517) 712-7204
Fax: (517) 796-4561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010112 Michigan
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301013308 Michigan

Profile Details

NPI number 1831214485
LBN Legal business name Fogg, Chasidy Colleen Summer
Credentials M.A. LLP LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Dec 20th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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