person
Prof. Gregory Robert Foker, PHD
Professional Counselor in Glendale, Wisconsin
NPI 1073613105

Gregory Robert Foker is a Professional Counselor based in Grafton, WI and is specialized in Professional. Gregory Robert Foker practices in Glendale, WI and has the professional credentials of PHD. The NPI Number for Gregory Robert Foker is 1073613105 and holds a License No. 12664 (Wisconsin).

The current practice location address for Gregory Robert Foker is 5225 N Ironwood Ln, Glendale, WI and can be reached out via phone at 414-962-9156 and via fax at 414-962-4356.

Location: 5225 N Ironwood Ln, Glendale, WI, 53024-2932
person
Provider Profile Details
NPI Number
1073613105
Provider Name
Gregory Robert Foker
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
5225 N Ironwood Ln, Glendale, WI, 53024-2932
Phone Number
414-962-9156
Fax Number
414-962-4356
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39709400 05 WY
institution
Provider Business Practice Location Address Details
Address
5225 N Ironwood Ln
City
State
Zip
53217-4909
Phone Number
414-962-9156
Fax Number
414-962-4356
person
Provider Business Mailing Address Details
Address
5225 N Ironwood Ln
City
State
Zip
53217-4909
Phone Number
414-962-9156
Fax Number
414-962-4356
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
654-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12664 (Wisconsin)
Definition
Definition to come...
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