Individual
NICHOLAS A. FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
2808 S PICHER AVE, JOPLIN, MO 64804-1645
(417) 347-7700
(417) 347-7729
Mailing address
2808 S PICHER AVE, P.O. BOX 2526, JOPLIN, MO 64804-1645
(417) 347-7700
(417) 347-7729
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010010773
MO
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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