Individual
JENNIFER ANN FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2910 EMERSON AVE, PARKERSBURG, WV 26104
(304) 239-5355
(304) 622-6856
Mailing address
2910 EMERSON AVE, PARKERSBURG, WV 26104
(304) 622-7511
(304) 622-6856
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619379559
—
WV
Enumeration date
07/08/2022
Last updated
06/12/2024
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