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Mr. Samuel Patrick Fogle, MS,LPC
Mental Health Counselor in Abilene, Texas
NPI 1790752319

Samuel Patrick Fogle is a Mental Health Counselor based in Abilene, TX and is specialized in Mental Health. Samuel Patrick Fogle practices in Abilene, TX and has the professional credentials of MS,LPC. The NPI Number for Samuel Patrick Fogle is 1790752319 and holds a License No. 16245 (Texas).

The current practice location address for Samuel Patrick Fogle is 1219 E South 11Th St, Abilene, TX and can be reached out via phone at 325-676-2039 and via fax at 325-480-4784. You can also correspond with Samuel Patrick Fogle through the mailing address at 1219 E SOUTH 11TH ST, ABILENE, TX - 79602-4283 (mailing address contact number: 325-676-2039).

Location: 1219 E South 11Th St, Abilene, TX, 79602-4283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790752319
Provider Name
Samuel Patrick Fogle
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
1219 E South 11Th St, Abilene, TX, 79602-4283
Phone Number
325-676-2039
Fax Number
325-480-4784
Provider Enumeration Date
03/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7252LC 01 TX BLUE CROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1219 E South 11Th St
City
Abilene
State
Texas
Zip
79602-4283
Phone Number
325-676-2039
Fax Number
325-480-4784
person
Provider Business Mailing Address Details
Address
1219 E South 11Th St
City
Abilene
State
Texas
Zip
79602-4283
Phone Number
325-676-2039
Fax Number
325-480-4784
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
16245 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
16245 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
16245 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
16245 (Texas)
Definition
Definition to come...
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