person
Mrs. Susan Buskill Fogg, LPC
Professional Counselor in Grundy, Virginia
NPI 1477889111

Susan Buskill Fogg is a Professional Counselor based in Pounding Mill, VA and is specialized in Professional. Susan Buskill Fogg practices in Grundy, VA and has the professional credentials of LPC. The NPI Number for Susan Buskill Fogg is 1477889111 and holds a License No. 0701004695 (Virginia).

The current practice location address for Susan Buskill Fogg is 19873 Riverside Drive, Grundy, VA and can be reached out via phone at 276-210-4618.

Location: 19873 Riverside Drive, Grundy, VA, 24637-0683
person
Provider Profile Details
NPI Number
1477889111
Provider Name
Susan Buskill Fogg
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
19873 Riverside Drive, Grundy, VA, 24637-0683
Phone Number
276-210-4618
Fax Number
Provider Enumeration Date
10/31/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12029478 05 VA
institution
Provider Business Practice Location Address Details
Address
19873 Riverside Drive
City
State
Zip
24614
Phone Number
276-210-4618
Fax Number
person
Provider Business Mailing Address Details
Address
19873 Riverside Drive
City
State
Zip
24614
Phone Number
276-210-4618
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701004695 (Virginia)
Definition
Definition to come...
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