Individual
GLEN FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
675 BARTSON RD, FREMONT, OH 43420-9672
(419) 332-5524
Mailing address
675 BARTSON ROAD, FREMONT, OH 43420
(419) 332-5524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.954203-SR
OH
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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