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Gailtricia Brenlyn Fogg
Counselor in Macon, Georgia
NPI 1356022255

Gailtricia Brenlyn Fogg is a Counselor based in Macon, GA. Gailtricia Brenlyn Fogg practices in Macon, GA. The NPI Number for Gailtricia Brenlyn Fogg is 1356022255 and holds a License No. LPC010555 (Georgia).

The current practice location address for Gailtricia Brenlyn Fogg is 105 Trudie Ln, Macon, GA and can be reached out via phone at 478-494-0333.

Location: 105 Trudie Ln, Macon, GA, 31216-6168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356022255
Provider Name
Gailtricia Brenlyn Fogg
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 Trudie Ln, Macon, GA, 31216-6168
Phone Number
478-494-0333
Fax Number
Provider Enumeration Date
07/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Trudie Ln
City
Macon
State
Georgia
Zip
31216-6168
Phone Number
478-494-0333
Fax Number
person
Provider Business Mailing Address Details
Address
105 Trudie Ln
City
Macon
State
Georgia
Zip
31216-6168
Phone Number
478-494-0333
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC010555 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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