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Lynnette Lanae Fogg, LPC
Professional Counselor in Hampton, Virginia
NPI 1588204853

Lynnette Lanae Fogg is a Professional Counselor based in Hampton, VA and is specialized in Professional. Lynnette Lanae Fogg practices in Hampton, VA and has the professional credentials of LPC. The NPI Number for Lynnette Lanae Fogg is 1588204853 and holds a License No. 0701008705 (Virginia).

The current practice location address for Lynnette Lanae Fogg is 600 Medical Dr Ste A&B, Hampton, VA and can be reached out via phone at 757-788-0600 and via fax at 757-788-0932.

Location: 600 Medical Dr Ste A&B, Hampton, VA, 23666-1765
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Provider Profile Details
NPI Number
1588204853
Provider Name
Lynnette Lanae Fogg
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
600 Medical Dr Ste A&B, Hampton, VA, 23666-1765
Phone Number
757-788-0600
Fax Number
757-788-0932
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659424448 05 VA
institution
Provider Business Practice Location Address Details
Address
600 Medical Dr Ste A&B
City
State
Zip
23666-1769
Phone Number
757-788-0600
Fax Number
757-788-0932
person
Provider Business Mailing Address Details
Address
600 Medical Dr Ste A&B
City
State
Zip
23666-1769
Phone Number
757-788-0600
Fax Number
757-788-0932
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701008705 (Virginia)
Definition
Definition to come...
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